Individual
FALLON EILEEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2977 CROUSE LN, BURLINGTON, NC 27215-9480
(336) 594-4200
Mailing address
1512 ABBOTTS CREEK CIR, KERNERSVILLE, NC 27284-3756
(336) 575-4595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011730
NC
Other
Enumeration date
04/29/2019
Last updated
08/13/2021
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