Individual
NYISHA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFPS
Contact information
Practice address
2179 BAYSIDE DR SW, SUPPLY, NC 28462-3977
(910) 918-5586
Mailing address
2179 BAYSIDE DR SW, SUPPLY, NC 28462-3977
(910) 918-5586
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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