Individual
DEBORAH JEAN SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4981
(910) 486-6818
Mailing address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305-4981
(910) 486-6818
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5014334
NC
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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