Provider Demographics
NPI:1184043721
Name:WORTHINGTON, CAROLE JANE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:JANE
Last Name:WORTHINGTON
Suffix:
Gender:F
Credentials:NP-C
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Other - Credentials:
Mailing Address - Street 1:P. O. BOX 61447
Mailing Address - Street 2:GERIATRIC NEUROPSYCHIATRY SERVICES, PLLC
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27715-1447
Mailing Address - Country:US
Mailing Address - Phone:919-682-0323
Mailing Address - Fax:919-687-7649
Practice Address - Street 1:5407 SKYLANE DRIVE
Practice Address - Street 2:GERIATRIC NEUROPSYCHIATRY SERVICES, PLLC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3953
Practice Address - Country:US
Practice Address - Phone:919-682-0323
Practice Address - Fax:919-687-7649
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2018-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC196026163W00000X
NC5006836363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology