Provider Demographics
NPI:1063465227
Name:SESSIONS, FADRIENNE H (MD)
Entity Type:Individual
Prefix:DR
First Name:FADRIENNE
Middle Name:H
Last Name:SESSIONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FADRIENNE
Other - Middle Name:H
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1001 ROCK QUARRY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3825
Mailing Address - Country:US
Mailing Address - Phone:919-833-3111
Mailing Address - Fax:919-834-3118
Practice Address - Street 1:1011 ROCK QUARRY RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3825
Practice Address - Country:US
Practice Address - Phone:919-833-3111
Practice Address - Fax:919-834-3118
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36039208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC36039OtherNORTH CAROLINA MEDICAL BOARD LICENSE
NC89-75244Medicaid
NC89-75244Medicaid
NCBS1466855OtherDEA LICENSE
NCNCU987DMedicare PIN
NCNCU987C617Medicare PIN
NCF40692Medicare UPIN
NC89-75244Medicaid
NC36039OtherNORTH CAROLINA MEDICAL BOARD LICENSE