Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vanessa Lee Pethel

Individual provider Family Nurse Practitioner · NPI 1689384901

Vanessa Lee Pethel is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Minuteclinic Diagnostic of North Carolina PC, a 207-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Phone: (704) 547-9739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5017561 (NC)

Record details

NPI number1689384901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Minuteclinic Diagnostic Of North Carolina Pc — 207 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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