THERESA MCNEILL CARMON NPI 1336078658

NPI Information

  • NPI: 1336078658
  • Provider Name: THERESA MCNEILL CARMON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2115 S MAIN ST STE A
    WAKE FOREST, NC
    ZIP 27587
  • Phone: (919) 229-4833

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NPI Details

Theresa Mcneill Carmon is a family nurse practitioner in Wake Forest, NC. Theresa Mcneill Carmon NPI is 1336078658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2115 S MAIN ST STE A
WAKE FOREST, NC
ZIP 27587-011
Phone: (919) 229-4833

The enumeration date for this NPI number is 5/14/2026 and was last updated on 5/14/2026.

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 PractitionerFamilyF02260905NORTH CAROLINAYes

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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