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NPI 1912841552

NPI 1912841552 : HER PSYCHIATRY WELLNESS : WAKE FOREST, NC

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General NPI Number Information
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    NPI Number           |    1912841552
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    Entity Type          |    Organization 
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    Legal Business Name  |    HER PSYCHIATRY WELLNESS 
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Dates
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    Enumeration Date     |    04/15/2026
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    Last Update Date     |    04/30/2026
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Provider Practice Location Address
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    Address Line         |    1776 HERITAGE CENTER DR STE 104 
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    City                 |    WAKE FOREST
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    State                |    NC
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    Zip                  |    27587-3977
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    Country              |    US
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    Telephone            |    919-561-3770
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    Fax                  |    919-561-3770
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Provider Business Mailing Address
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    Address Line         |    7413 DOVER HILLS DR 
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    City                 |    WAKE FOREST
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    State                |    NC
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    Zip                  |    27587-8079
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    Country              |    US
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    Telephone            |    919-561-3770
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    Fax                  |    919-561-3770
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Authorized Official
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    Title or Position    |    MSN, PMHNP-BC
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    Name                 |     NATALIE PEARL DAVID 
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    Credential           |    PMHNP
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    Telephone            |    919-561-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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