Provider Demographics
NPI:1760702062
Name:GISCOMBE, CHERYL LYNNETTE (NP, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNNETTE
Last Name:GISCOMBE
Suffix:
Gender:F
Credentials:NP, PHD
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Mailing Address - Street 1:214 BROADWAY ST
Mailing Address - Street 2:CAARE, INC.
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2404
Mailing Address - Country:US
Mailing Address - Phone:919-452-0116
Mailing Address - Fax:919-687-0793
Practice Address - Street 1:5221 MALIK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9375
Practice Address - Country:US
Practice Address - Phone:919-452-0116
Practice Address - Fax:919-687-0793
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5004731363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health