Provider Demographics
NPI:1689125288
Name:HIERS, WENDY MICHELE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MICHELE
Last Name:HIERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:MICHELE
Other - Last Name:MOREHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 PINECREST CIR W
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-0462
Mailing Address - Country:US
Mailing Address - Phone:812-844-5051
Mailing Address - Fax:
Practice Address - Street 1:300 W 27TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3075
Practice Address - Country:US
Practice Address - Phone:910-671-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000025868261363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily