Healthcare Provider Details

I. General information

NPI: 1851055370
Provider Name (Legal Business Name): HANNAH CAMILLE SIBLEY MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. HANNAH SIBLEY

II. Dates (important events)

Enumeration Date: 10/30/2021
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN ROAD
DURHAM NC
27710-5151
US

IV. Provider business mailing address

1008 HARDIN HILL LN
KNIGHTDALE NC
27545-6327
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 678-906-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN289937
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number344290
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: