Healthcare Provider Details

I. General information

NPI: 1568720381
Provider Name (Legal Business Name): MICHELLE LYNN STRICKLAND FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 SKY LANE DR
DURHAM NC
27704
US

IV. Provider business mailing address

5407 SKY LANE DR
DURHAM NC
27704-3953
US

V. Phone/Fax

Practice location:
  • Phone: 919-682-0323
  • Fax:
Mailing address:
  • Phone: 919-219-8546
  • Fax: 919-687-7649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number62109
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5010517
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: