Individual provider · Type 1 NPI

Carol Sue Raynor

Nurse Practitioner · Jacksonville, NC

NPI number 1447283098 Active

Practice location

114 Memorial Dr Ste A
Jacksonville, NC 28546-6328

Call (910) 353-0700 Map

Fax (910) 353-5305

Mailing address

PO Box 986513, Department 100
Boston, MA 02298-6513

Other practice locations

120 Memorial Dr, Jacksonville, NC 28546-6328 · (910) 353-0581

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	117615 (NC)
Nurse Practitioner Primary	363L00000X	201761 (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 1447283098

Carol Sue Raynor's National Provider Identifier is 1447283098, issued on Jul 8, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, NC. The record was last updated on Nov 6, 2023.