Provider Demographics
NPI:1942536826
Name:CONSEY, MAGGIE JO (ANP-C)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:JO
Last Name:CONSEY
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SHIPYARD BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6442
Mailing Address - Country:US
Mailing Address - Phone:910-395-3988
Mailing Address - Fax:910-395-3990
Practice Address - Street 1:800 SHIPYARD BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6442
Practice Address - Country:US
Practice Address - Phone:910-395-3988
Practice Address - Fax:910-395-3990
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004531363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5004531OtherNC BOARD OF NURSING
NC10860OtherNC BOARD OF PHARMACY
NC10860OtherNC BOARD OF PHARMACY