Provider Demographics
NPI:1891514899
Name:VANCE, CARRIE LEIGH (RN-BSN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:LEIGH
Last Name:VANCE
Suffix:
Gender:F
Credentials:RN-BSN, MSN, FNP-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:828-378-5600
Mailing Address - Fax:828-378-5609
Practice Address - Street 1:80 PEACHTREE RD STE 210
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3160
Practice Address - Country:US
Practice Address - Phone:828-378-5600
Practice Address - Fax:828-378-5609
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5020988363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner