Provider Demographics
NPI:1851183891
Name:VINING, CAROLINE (FNP-BC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:VINING
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 SILVER GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-6978
Mailing Address - Country:US
Mailing Address - Phone:301-717-8637
Mailing Address - Fax:
Practice Address - Street 1:329 SILVER GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-6978
Practice Address - Country:US
Practice Address - Phone:301-717-8637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty