Healthcare Provider Details

I. General information

NPI: 1194441865
Provider Name (Legal Business Name): NEW HOPE WELLNESS CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E RALEIGH ST STE C
SILER CITY NC
27344-3558
US

IV. Provider business mailing address

202 E RALEIGH ST STE C
SILER CITY NC
27344-3558
US

V. Phone/Fax

Practice location:
  • Phone: 919-887-0084
  • Fax: 919-887-0180
Mailing address:
  • Phone: 919-887-0084
  • Fax: 919-887-0180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE C WILLETT
Title or Position: OWNER
Credential: NP-C
Phone: 919-887-0084