JACQUELINE KAY TEBBEN RN-C PNP NPI 1558366609

NPI Information

NPI: 1558366609
Provider Name: JACQUELINE KAY TEBBEN, RN-C, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
301 E WENDOVER AVE
STE 400
GREENSBORO, NC
ZIP 27401
Phone: (336) 832-3150
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Jacqueline Kay Tebben, RN-C, PNP is a pediatrics nurse practitioner in Greensboro, NC. Jacqueline Kay Tebben, RN-C, PNP NPI is 1558366609. 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:

301 E WENDOVER AVE
STE 400
GREENSBORO, NC
ZIP 27401-230
Phone: (336) 832-3150

The enumeration date for this NPI number is 6/16/2005 and was last updated on 4/17/2015.

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	363L00000X	Nurse Practitioner		300032	NORTH CAROLINA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	300032	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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