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SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES NPI 1033462148


NPI Information

NPI: 1033462148
Provider Name: SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES

Doing Business As: CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
8076 HWY 105 SOUTH
BOONE, NC
ZIP 28607
Phone: (828) 963-9777
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SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES is a family nurse practitioner in Boone, NC. SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES NPI is 1033462148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Advocacy Center Of The Blue Ridge.

The provider's business location address is:

8076 HWY 105 SOUTH
BOONE, NC
ZIP 28607
Phone: (828) 963-9777

The provider's authorized official is William Jernigan .
The authorized official title is Executive Director and has the following contact phone number (828) 584-1105.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 5/16/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207Q00000XFamily MedicineNo
3363L00000XNurse PractitionerNo
4363LP0200XNurse PractitionerPediatricsNo
5363LF0000XNurse PractitionerFamilyYes

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: 4/28/2024

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