Healthcare Provider Details

I. General information

NPI: 1679364798
Provider Name (Legal Business Name): CARRIE HO RODDY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2754 NC-68 STE 111
HIGH POINT NC
27265
US

IV. Provider business mailing address

2754 NC-68 STE 111
HIGH POINT NC
27410
US

V. Phone/Fax

Practice location:
  • Phone: 336-802-1111
  • Fax:
Mailing address:
  • Phone: 133-680-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5025142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: