Individual provider · Type 1 NPI

Vanessa Renee Church, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Pilot Mountain, NC

NPI number 1235894056 Active

Practice location

207 Medical St
Pilot Mountain, NC 27041-8656

Fax (336) 368-1424

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 4911 Brian Center Ln, Winston Salem, NC 27106-6423 · (336) 744-5674

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5015284 (NC)
Gerontology Nurse Practitioner Primary 363LG0600X5015284 (NC)

Gerontology Nurse Practitioner: Definition to come...

6 other providers at this address

About NPI 1235894056

Vanessa Renee Church, NURSE PRACTITIONER's National Provider Identifier is 1235894056, issued on Nov 5, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pilot Mountain, NC. The record was last updated on Jan 29, 2025.