Provider Demographics
NPI:1366743445
Name:PEARSON, APRIL TEDDER (LPN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:TEDDER
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 CONABY DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962-1601
Mailing Address - Country:US
Mailing Address - Phone:252-791-2104
Mailing Address - Fax:
Practice Address - Street 1:207 CONABY DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-1601
Practice Address - Country:US
Practice Address - Phone:252-791-2104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51439164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse