Provider Demographics
NPI:1033906839
Name:GUINN, MOLLIE ADDISON (NP)
Entity type:Individual
Prefix:
First Name:MOLLIE
Middle Name:ADDISON
Last Name:GUINN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3743 SW DURHAM DR APT 205
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3893
Mailing Address - Country:US
Mailing Address - Phone:251-377-4154
Mailing Address - Fax:
Practice Address - Street 1:404 WESTWOOD AVE STE 103
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4316
Practice Address - Country:US
Practice Address - Phone:336-889-6564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021989363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics