Provider Demographics
NPI:1679008288
Name:FOLK, CHERI WALLS (NP-C)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:WALLS
Last Name:FOLK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4546 NC 87 S
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-0212
Mailing Address - Country:US
Mailing Address - Phone:919-499-5150
Mailing Address - Fax:919-499-0347
Practice Address - Street 1:1140 CARTHAGE ST STE B
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4161
Practice Address - Country:US
Practice Address - Phone:919-499-5150
Practice Address - Fax:919-499-0347
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009575363L00000X
NC178795163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse