SUNNY PROVENCE FNP NPI 1710394226

NPI Information

NPI: 1710394226
Provider Name: SUNNY PROVENCE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
WOMACK ARMY MEDICAL CENTER, MCXC-PC-WRC
2817 ROCK MERRITT AVE, STOP A
FORT LIBERTY, NC
ZIP 28310
Phone: (910) 907-8500
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Sunny Provence, FNP is a family nurse practitioner in Fort Liberty, NC. Sunny Provence, FNP NPI is 1710394226. 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:

WOMACK ARMY MEDICAL CENTER, MCXC-PC-WRC
2817 ROCK MERRITT AVE, STOP A
FORT LIBERTY, NC
ZIP 28310-000
Phone: (910) 907-8500
Fax: (910) 907-8630

The NPI 1710394226 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 7/16/2014 and was last updated on 4/5/2024.

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	AP125791	TEXAS	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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