Healthcare Provider Details

I. General information

NPI: 1629951223
Provider Name (Legal Business Name): MAYLIN JANET FERRER MORA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N QUEEN ST
KINSTON NC
28501-4932
US

IV. Provider business mailing address

324 N QUEEN ST
KINSTON NC
28501-4932
US

V. Phone/Fax

Practice location:
  • Phone: 252-522-9800
  • Fax: 252-523-9790
Mailing address:
  • Phone: 252-522-9800
  • Fax: 252-523-9790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5022808
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: