Provider Demographics
NPI:1457932907
Name:DUCHAINE, CARRIE NICOLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:NICOLE
Last Name:DUCHAINE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 CARATOKE HWY
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-8672
Mailing Address - Country:US
Mailing Address - Phone:252-435-1275
Mailing Address - Fax:252-435-6293
Practice Address - Street 1:446 CARATOKE HWY
Practice Address - Street 2:
Practice Address - City:MOYOCK
Practice Address - State:NC
Practice Address - Zip Code:27958-8672
Practice Address - Country:US
Practice Address - Phone:252-435-1275
Practice Address - Fax:252-435-6293
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181274363LF0000X
NC5015499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily