Provider Demographics
NPI:1386784395
Name:ADCOCK, GALE (FNP)
Entity type:Individual
Prefix:MS
First Name:GALE
Middle Name:
Last Name:ADCOCK
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 1:100 SAS CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2414
Mailing Address - Country:US
Mailing Address - Phone:919-531-6077
Mailing Address - Fax:919-654-3800
Practice Address - Street 1:100 SAS CAMPUS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2414
Practice Address - Country:US
Practice Address - Phone:919-531-6077
Practice Address - Fax:919-654-3800
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily