Ms. Carol S Raynor
Nurse Practitioner in Jacksonville, North Carolina
1447283098- Practice location
- 114 Memorial Dr Ste A, Jacksonville, NC 28546-6328
- Phone
- 910-353-0700
- Fax
- 910-353-5305
- Last updated
- November 6, 2023
Carol Sue Raynor is a Nurse Practitioner based in Jacksonville, NC. Carol Sue Raynor practices in Jacksonville, NC. The NPI Number for Carol Sue Raynor is 1447283098 and holds a License No. 117615 (NC). The current practice location address for Carol Sue Raynor is 114 Memorial Dr Ste A, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0700 and via fax at 910-353-5305.
Provider Profile Details
- NPI Number
- 1447283098
- Provider Name
- Carol Sue Raynor
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 114 Memorial Dr Ste A, Jacksonville, NC 28546-6328
- Phone Number
- 910-353-0700
- Fax Number
- 910-353-5305
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- Ms. Carol Sue Holland (Former Name)
- Provider Enumeration Date
- July 8, 2006
- Last Update Date
- November 6, 2023
- Certification Date
- November 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 114 Memorial Dr Ste A
Jacksonville, NC 28546-6328 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6328
- Phone Number
- 910-353-0700
- Fax Number
- 910-353-5305
Provider Business Mailing Address Details
- Address
- Po Box 986513
Department 100
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-219-8326
- Fax Number
- 910-939-4269
License Information
- License Number (1)
- 117615
- License State (1)
- NC
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (2)
- 201761
- License State (2)
- NC
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Carol S Raynor?
The NPI number of Ms. Carol S Raynor is 1447283098. It was assigned on July 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Carol S Raynor?
Ms. Carol S Raynor is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NC under license number 117615.
Where does Ms. Carol S Raynor practice?
The practice location is 114 Memorial Dr Ste A, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0700 (phone) or 910-353-5305 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447283098 directly on the NPPES registry website.