Provider Demographics
NPI:1730966292
Name:EDGESTON-JONES, DORRIE (DNP, FNP)
Entity type:Individual
Prefix:
First Name:DORRIE
Middle Name:
Last Name:EDGESTON-JONES
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 GARNER STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-3600
Mailing Address - Country:US
Mailing Address - Phone:984-283-1720
Mailing Address - Fax:888-498-4637
Practice Address - Street 1:1408 GARNER STATION BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3600
Practice Address - Country:US
Practice Address - Phone:984-283-1720
Practice Address - Fax:888-498-4637
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018783363LF0000X
NCEDGE-LYWQZ363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily