Individual provider · Type 1 NPI

Samantha Carole Pernell

Nurse Practitioner · Henderson, NC

NPI number 1104515162 Active

Practice location

120 Charles Rollins Rd
Henderson, NC 27536-2882

Fax (252) 436-1315

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X287819 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104515162

Samantha Carole Pernell's National Provider Identifier is 1104515162, issued on May 4, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Henderson, NC. The record was last updated on Sep 21, 2026.