Provider Demographics
NPI:1982113908
Name:NEWSOME, BERNICE SUE (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:BERNICE
Middle Name:SUE
Last Name:NEWSOME
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNNING DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7065
Mailing Address - Country:US
Mailing Address - Phone:919-966-3383
Mailing Address - Fax:919-966-3475
Practice Address - Street 1:101 MANNING DRIVE
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7065
Practice Address - Country:US
Practice Address - Phone:919-966-3383
Practice Address - Fax:919-966-3475
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50009888363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health