Healthcare Provider Details

I. General information

NPI: 1215167614
Provider Name (Legal Business Name): HESTER VELMA DRUMMOND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 07/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3739 JUNCTION BLVD
RALEIGH NC
27603-5263
US

IV. Provider business mailing address

2664 TIMBER DR STE 404
GARNER NC
27529-2571
US

V. Phone/Fax

Practice location:
  • Phone: 919-559-1179
  • Fax: 919-803-2514
Mailing address:
  • Phone: 919-559-1179
  • Fax: 919-803-2514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number230970
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: