Ennis, Nicole Renee

Ennis, Nicole Renee is an sole proprietor health care provider with primary practice located at 300 Kelly Rd , Pinehurst NC 28374-8099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ennis, Nicole Renee can be contacted via phone (910) 420-0226.

Contact Information

Primary practice address
300 Kelly Rd Pinehurst NC 28374-8099
Phone: (910) 420-0226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024179001 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5017739 North Carolina

Profile Details

NPI number 1659925717
LBN Legal business name Ennis, Nicole Renee
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2019
Last updated Jul 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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