NPI 1063925774

Pervis Nash

Practitioner Peer Specialist Charlotte, NC

Practice location

Address: 4703 N Sharon Amity Rd APT 2, Charlotte, NC 28205-4657
Phone: (980) 616-8645

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2017-4229-01 (NC)

Other Peer Specialist providers in North Carolina →

Registry record

NPI: 1063925774
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2017
Record last updated: 16 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.