Provider Demographics
NPI:1689190365
Name:PARTIN, DANIELLE NEKETA HARRIS (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NEKETA HARRIS
Last Name:PARTIN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:613 MAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-2339
Mailing Address - Country:US
Mailing Address - Phone:919-436-5383
Mailing Address - Fax:
Practice Address - Street 1:7780 BRIER CREEK PKWY STE 306
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617
Practice Address - Country:US
Practice Address - Phone:919-704-1486
Practice Address - Fax:877-745-2672
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2022-04-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant