LOGINCLINICS PLLC NPI 1003472804

NPI Information

  • NPI: 1003472804
  • Provider Name: LOGINCLINICS, PLLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • :
  • CLIA Number: 34D2234042
  • Address: 406 US 1 HWY STE A
    YOUNGSVILLE, NC
    ZIP 27596
  • Phone: (919) 679-1880

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NPI Details

LOGINCLINICS, PLLC is a primary care nurse practitioner in Youngsville, NC. LOGINCLINICS, PLLC NPI is 1003472804. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

406 US 1 HWY STE A
YOUNGSVILLE, NC
ZIP 27596-847
Phone: (919) 679-1880
Fax: (800) 507-0902

The provider's authorized official is Jaclyn S Qualter .
The authorized official title is Owner/provider and has the following contact phone number (919) 679-1880.

The CLIA number assigned to this NPI record is 34D2234042 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 9/23/2025.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

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