Provider Demographics
NPI:1780965491
Name:FERRIS, SCHAUREN JADE (FNP)
Entity type:Individual
Prefix:MRS
First Name:SCHAUREN
Middle Name:JADE
Last Name:FERRIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SCHAUREN
Other - Middle Name:JADE
Other - Last Name:HINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:8001 DEVELOPMENT DR BLDG 8
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7416
Mailing Address - Country:US
Mailing Address - Phone:919-237-8900
Mailing Address - Fax:919-472-0601
Practice Address - Street 1:8001 DEVELOPMENT DR BLDG 8
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7416
Practice Address - Country:US
Practice Address - Phone:919-237-8900
Practice Address - Fax:919-472-0601
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6608040423OtherPECOS