FAYETTEVILLE ADVANCED PRACTITIONERS NPI 1629494265

NPI Information

  • NPI: 1629494265
  • Provider Name: FAYETTEVILLE ADVANCED PRACTITIONERS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 2915 RAEFORD RD
    FAYETTEVILLE, NC
    ZIP 28303
  • Phone: (910) 670-2047

Map and Directions

Get Directions

NPI Details

FAYETTEVILLE ADVANCED PRACTITIONERS is a family nurse practitioner in Fayetteville, NC. FAYETTEVILLE ADVANCED PRACTITIONERS NPI is 1629494265. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2915 RAEFORD RD
FAYETTEVILLE, NC
ZIP 28303-508
Phone: (910) 670-2047

The provider's authorized official is Jamie Ann Dickerhoff .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (910) 670-2047.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 3/26/2014.

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
1363LA2200XNurse PractitionerAdult Health164680NORTH CAROLINANo
2363LF0000XNurse PractitionerFamily148570NORTH 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
11386970572OTHERNORTH CAROLINANPI
2245538461OTHERNORTH CAROLINANPI

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI