Healthcare Provider Details

I. General information

NPI: 1225586795
Provider Name (Legal Business Name): BRIANA NICOLE TERRY MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 SHIPYARD BLVD
WILMINGTON NC
28403-8052
US

IV. Provider business mailing address

612 COLLEGE ST
JACKSONVILLE NC
28540-5311
US

V. Phone/Fax

Practice location:
  • Phone: 910-662-9300
  • Fax:
Mailing address:
  • Phone: 910-347-2154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5008904
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5008904
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: