Mary Frances Pettway, R.N.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

108110 Issued in NC

Practice address

566 Ruin Creek Rd
Henderson, NC 27536-2927

Phone

(252) 436-6400

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841493525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ALICIA CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045173",
            "telephone_number": "919-765-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-436-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "108110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Jackson Pernell Sr., LCAS
• Samantha Carole Pernell
• Donna Perry, RN
• James Howard Perry, M.D.
• La'Shanda Michelle Person, LCASA
• Philip D Meador Jr MD PA
• Eureka Llowanna Phillip, MD
• Emma Phillips, MA
• Piedmont Stone Center
• Jacob Keith Poe, CRNA

• Medical-Surgical Registered Nurse in Henderson, NC
• Providers in Henderson, NC by specialty
• Medical-Surgical Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.