| Organization Name: | PROFESSIONAL NURSING SERVICE, INC |
| NPI Number: | 1043457823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETTY W WALLACE (CEO) |
| Mailing Address: | 212 N 35th St Morehead City |
| State: | NC US |
| Postal Code: | 285573104 |
| Phone Number: | 2522476911 |
| Fax Number: | 2522471034 |
| NPI Enumeration Date: | 01/15/2009 |
| NPI Last Update Date: | 01/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | HC 6800356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |