Provider Demographics
NPI:1104541598
Name:O'CONNELL, ERIN NICOLE (FNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2925
Mailing Address - Country:US
Mailing Address - Phone:828-349-3333
Mailing Address - Fax:828-349-3379
Practice Address - Street 1:316 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2925
Practice Address - Country:US
Practice Address - Phone:828-349-3333
Practice Address - Fax:828-349-3379
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017017363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily