SMITH & KOLB FAMILY PRACTICE PLLC NPI 1114688223

NPI Information

NPI: 1114688223
Provider Name: SMITH & KOLB FAMILY PRACTICE, PLLC
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Organization
CLIA Number: 34D2258829
Address: 413 OWEN DR STE 101
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 740-4361

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NPI Details

SMITH & KOLB FAMILY PRACTICE, PLLC is a family nurse practitioner in Fayetteville, NC. SMITH & KOLB FAMILY PRACTICE, PLLC NPI is 1114688223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

413 OWEN DR STE 101
FAYETTEVILLE, NC
ZIP 28304-490
Phone: (910) 740-4361
Fax: (910) 488-4856

The provider's authorized official is Buffy Jacobs .
The authorized official title is Executive Office Manager and has the following contact phone number (910) 740-4361.

The CLIA number assigned to this NPI record is 34D2258829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2022 and was last updated on 1/2/2022.

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	363LF0000X	Nurse Practitioner	Family			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	1437827490	OTHER	NORTH CAROLINA	NATIONAL PROVIDER IDENTIFIER

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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