Healthcare Provider Details

I. General information

NPI: 1275496713
Provider Name (Legal Business Name): CIERRA ALFORD PARKS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 OLD ROBERTS RD STE 102
BENSON NC
27504-8047
US

IV. Provider business mailing address

3325 JOYNER BRIDGE RD
FOUR OAKS NC
27524-8896
US

V. Phone/Fax

Practice location:
  • Phone: 919-934-2600
  • Fax:
Mailing address:
  • Phone: 919-398-2074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023585
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: