FAYETTEVILLE ADVANCED PRACTITIONERS NPI 1629494265

NPI Information

NPI: 1629494265
Provider Name: FAYETTEVILLE ADVANCED PRACTITIONERS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2915 RAEFORD RD
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 670-2047
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FAYETTEVILLE ADVANCED PRACTITIONERS is a family nurse practitioner in Fayetteville, NC. FAYETTEVILLE ADVANCED PRACTITIONERS NPI is 1629494265. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2915 RAEFORD RD
FAYETTEVILLE, NC
ZIP 28303-508
Phone: (910) 670-2047

The provider's authorized official is Jamie Ann Dickerhoff .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (910) 670-2047.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	164680	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	148570	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1386970572	OTHER	NORTH CAROLINA	NPI
2	245538461	OTHER	NORTH CAROLINA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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