Provider Demographics
NPI:1407645948
Name:HEARNS, ROCHELLE
Entity type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:
Last Name:HEARNS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4441 SIX FORKS ROAD
Mailing Address - Street 2:SUITE 106 BOX 301
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:984-867-7343
Mailing Address - Fax:984-867-7343
Practice Address - Street 1:140 COTTAGE OAKS WAY APT 103
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-5531
Practice Address - Country:US
Practice Address - Phone:984-867-7343
Practice Address - Fax:984-867-7343
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other