Healthcare Provider Details

I. General information

NPI: 1225831712
Provider Name (Legal Business Name): PREMIER NURSING STAFFING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6103 BENT TREE CT
CHARLOTTE NC
28212-0905
US

IV. Provider business mailing address

6103 BENT TREE CT
CHARLOTTE NC
28212-0905
US

V. Phone/Fax

Practice location:
  • Phone: 704-977-7231
  • Fax:
Mailing address:
  • Phone: 704-977-7231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SIMON SNEED JR.
Title or Position: OWNER
Credential:
Phone: 704-977-7231