Provider Demographics
NPI:1942069943
Name:SUTTON, URSULA KNIGHT (FNP)
Entity Type:Individual
Prefix:MRS
First Name:URSULA
Middle Name:KNIGHT
Last Name:SUTTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 TAYLOR MILL RD
Mailing Address - Street 2:
Mailing Address - City:EURE
Mailing Address - State:NC
Mailing Address - Zip Code:27935-9611
Mailing Address - Country:US
Mailing Address - Phone:252-506-2416
Mailing Address - Fax:
Practice Address - Street 1:120 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-8161
Practice Address - Country:US
Practice Address - Phone:252-332-3548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily