Provider Demographics
NPI:1316594195
Name:DINGLE, VERNICE
Entity Type:Individual
Prefix:MRS
First Name:VERNICE
Middle Name:
Last Name:DINGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 BARLOW RD
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-4601
Mailing Address - Country:US
Mailing Address - Phone:252-425-6643
Mailing Address - Fax:
Practice Address - Street 1:1811 BARLOW RD
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-4601
Practice Address - Country:US
Practice Address - Phone:252-425-6643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider