Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5009599 | NC |
N | 363LC1500X | Nurse Practitioner - Community Health | 5009599 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 5009599 | NC |
N | 363LP2300X | Nurse Practitioner - Primary Care | 5009599 | NC |
NPI | 1215450945 |
---|---|
Provider Name | Felice Noel Carlton |
First Address | Kenansville, NC 28349-8978 |
Second Address | Kenansville, NC 28349-8978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 04/08/2017 |