MEDICARE: GLORIFIED HEALTHCARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1578423042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIFIED HEALTHCARE, PLLC

Provider Business Mailing Address
First Line	:	1201 BERMUDA RD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-5102
Country	:	US
Telephone Number	:	919-435-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 BERMUDA RD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-5102
Country	:	US
Telephone Number	:	919-435-2325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTY COLEY ARNOLD
Credential	:	FNP
Telephone Number	:	252-955-1608

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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