Stephanie Caudle Draker, NP-C | |
6915 Village Medical Cir, Clemmons, NC 27012-8002 | |
(336) 718-1680 | |
(336) 718-1681 |
Full Name | Stephanie Caudle Draker |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6915 Village Medical Cir, Clemmons, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013514454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5013645 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5013645 (North Carolina) | Primary |
Entity Name | Ardmore Family Practice Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750342820 PECOS PAC ID: 1759283211 Enrollment ID: O20040123001046 |
Entity Name | Forsyth Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Mailing Address | Practice Location Address |
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Stephanie Caudle Draker, NP-C Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 718-7680 | Stephanie Caudle Draker, NP-C 6915 Village Medical Cir, Clemmons, NC 27012-8002 Ph: (336) 718-1680 |
Jeanine Baskin, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6371 Jessie Ln, Clemmons, NC 27012 Phone: 336-740-9659 | |
Bethany Rena Low, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Stadium Dr Ste 500, Clemmons, NC 27012 Phone: 336-766-6473 Fax: 336-766-8909 | |
Mrs. Phyllis Patricia Coconis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2554 Lewisville-clemmons Rd, Ste 109, Clemmons, NC 27012 Phone: 704-766-1000 Fax: 704-766-1002 | |
Mrs. Carly Anne Peeler Regan, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6915 Village Medical Cir, Clemmons, NC 27012 Phone: 336-718-1680 | |
Mrs. Rhonda Wallace Dixon, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4130 Clemmons Rd, Clemmons, NC 27012 Phone: 336-765-5470 Fax: 336-499-5428 | |
Ronda Renee Wright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-766-0324 |