Doctor Name: | MRS. VICKI PERRY WOOD |
NPI Number: | 1356691018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 224498 |
Business Practice Address: | 100 Campus Dr Elon, NC - 272449423 |
Business Phone Number: | 3362787230 |
Business Fax Number: | |
Mailing Address: | 2904 Piney Ct, RALEIGH |
State: | NC |
Postal Code: | 276036210 |
Phone Number: | 3362130986 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 224498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |