Provider Demographics
NPI:1649815259
Name:FERRELL, MADELINE JONES (FNP)
Entity type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:JONES
Last Name:FERRELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:NORTH
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6174 E HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:IRON STATION
Mailing Address - State:NC
Mailing Address - Zip Code:28080-9446
Mailing Address - Country:US
Mailing Address - Phone:704-622-9327
Mailing Address - Fax:704-483-1600
Practice Address - Street 1:200 GAMBLE DR
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4413
Practice Address - Country:US
Practice Address - Phone:704-734-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily