Provider Demographics
NPI:1245076611
Name:FERREE, SAMANTHA WHITLEY
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:WHITLEY
Last Name:FERREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7049 BOVINE LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-8368
Mailing Address - Country:US
Mailing Address - Phone:704-491-8907
Mailing Address - Fax:
Practice Address - Street 1:220 E WASHINGTON ST STE B
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3667
Practice Address - Country:US
Practice Address - Phone:704-491-8907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024042828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily