MRS. JENNIFER MARION MCCREARY FNP NPI 1053397919

NPI Information

  • NPI: 1053397919
  • Provider Name: MRS. JENNIFER MARION MCCREARY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 W WILLIAMS ST
    APEX, NC
    ZIP 27502
  • Phone: (919) 363-9363

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NPI Details

MRS. Jennifer Marion Mccreary, FNP is a family nurse practitioner in Apex, NC. MRS. Jennifer Marion Mccreary, FNP NPI is 1053397919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 W WILLIAMS ST
APEX, NC
ZIP 27502-203
Phone: (919) 363-9363

The NPI 1053397919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 7/9/2013.

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
1363LF0000XNurse PractitionerFamily2000801NORTH CAROLINAYes

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
1200801OTHERNEW YORKMEDICAL LICENSE NUMBER
2NC1526AMEDICARE PINNORTH CAROLINA
37005242MEDICAIDNORTH CAROLINA
42597531BMEDICARE PINNORTH CAROLINA

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: 3/30/2025

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