Healthcare Provider Details

I. General information

NPI: 1306437074
Provider Name (Legal Business Name): CHERILYN A MARRS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 RALEIGH RD
CHAPEL HILL NC
27517-4412
US

IV. Provider business mailing address

1350 RALEIGH RD
CHAPEL HILL NC
27517-4412
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1000
  • Fax: 919-966-9094
Mailing address:
  • Phone: 828-260-3781
  • Fax: 919-966-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number5014014
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: