Healthcare Provider Details

I. General information

NPI: 1386238442
Provider Name (Legal Business Name): VENESSA CURLEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1831 N FAYETTEVILLE ST
ASHEBORO NC
27203-3273
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 336-672-1300
  • Fax:
Mailing address:
  • Phone: 704-874-1907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5014144
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: