Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE JEAN PRENDERGAST
ActiveNICOLE JEAN PRENDERGAST is a Sports Medicine (EM) healthcare provider located in WINSTON SALEM, North Carolina. NPI 1073018081 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1073018081
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2018 (8.4114075149477 yrs)
- Last Updated
- Jul 4, 2023
- Licenses
-
65293 (TN)2023-01108 (NC)
Practice Information
- Address
-
MEDICAL CENTER BOULEVARDWINSTON SALEM, NC, 271570001Browse NC providers · Browse ZIP 27157
- Phone
- 3367162255
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.