Prendergast, Nicole Jean

Prendergast, Nicole Jean is an individual health care provider with primary practice located at Medical Center Boulevard , Winston Salem NC 27157-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Prendergast, Nicole Jean can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Boulevard Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 65293 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 2023-01108 North Carolina

Profile Details

NPI number 1073018081
LBN Legal business name Prendergast, Nicole Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Jul 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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