Provider Demographics
NPI:1982189353
Name:ISBELL, NICHOLAS GUY (AGNP-C)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:GUY
Last Name:ISBELL
Suffix:
Gender:M
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 52720
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717-2720
Mailing Address - Country:US
Mailing Address - Phone:919-797-5114
Mailing Address - Fax:919-403-2917
Practice Address - Street 1:14 CONSULTANT PL STE 250
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6320
Practice Address - Country:US
Practice Address - Phone:919-797-5114
Practice Address - Fax:919-403-2917
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011048208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice