Provider Demographics
NPI:1083911788
Name:FARMER, NEDA YOLANDA (FNP)
Entity Type:Individual
Prefix:
First Name:NEDA
Middle Name:YOLANDA
Last Name:FARMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NEDA
Other - Middle Name:YOLANDA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6700 ALBEMARLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-3856
Mailing Address - Country:US
Mailing Address - Phone:704-921-1000
Mailing Address - Fax:704-921-1022
Practice Address - Street 1:6700 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-3856
Practice Address - Country:US
Practice Address - Phone:704-921-1000
Practice Address - Fax:704-921-1022
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00444669OtherRAILROAD MEDICARE PTAN
NC2595202OtherCIGNA PTAN
NCNC8011BOtherMEDICARE PTAN
NC7004859Medicaid