Provider Demographics
NPI:1841675352
Name:FELIX, MARY RACHEL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:RACHEL
Last Name:FELIX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:RACHEL
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1102B YADKINVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-2037
Mailing Address - Country:US
Mailing Address - Phone:336-296-3101
Mailing Address - Fax:
Practice Address - Street 1:1102B YADKINVILLE RD
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-2037
Practice Address - Country:US
Practice Address - Phone:336-296-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-26
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000019990363LF0000X
NC5017711363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily