JESSICA NICOLE FAIRFAX (NPI# 1376181487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376181487 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE FAIRFAX |
| Practice Address |
400 Liberty Hill Rd Lumberton NC 28358-2446 |
| Mailing Address |
9833 Old Whiteville Rd Lumberton NC 28358-7986 |
| Practice Telephone | 9107393318 |
| Mailing Telephone | 9108272412 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07190414 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264065 | Jessica Fairfax | Counselor | 216 Adley Way, Greenville, SC 29607-6511 | 2017-09-14 |
| Street Address |
400 LIBERTY HILL RD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064599 | William Scott Ryan | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2005-06-24 |
| 1699305060 | Jacklynn Lindsey Hunt | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2020-01-24 |
| 1174031173 | Danielle Nicole Chavis | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2018-01-12 |
| 1417467408 | Kandis Danielle Atkins | Family Medicine | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2017-10-04 |
| 1881126738 | Michelle Lin | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2017-03-30 |
| 1255764536 | Candace Michelle Lowry | Nurse Practitioner | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2013-08-09 |
| 1124371646 | Coastal Childrens Services Pllc | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2012-10-22 |
| 1689924268 | Christie Lynne Hagan | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2012-09-11 |
| 1063760031 | Children's Health of Carolina, Pa | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2012-08-24 |
| 1679863070 | Maria Torres Sy | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2011-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282816 | Megan Calloway | Nurse Practitioner | 6422 N Fawn Dr, Lumberton, TX 77657-6738 | 2020-07-14 |
| 1972129864 | Stephanie Chavis | Nurse Practitioner | 191 Fields Rd, Lumberton, NC 28358-8914 | 2020-06-17 |
| 1497380646 | Crystal Lynn Berumen | Nurse Practitioner | 8886 Nc Highway 41 N, Lumberton, NC 28358-8791 | 2020-03-09 |
| 1326509472 | Natalie Hunt Locklear | Nurse Practitioner | 4671 Us Highway 74 W, Lumberton, NC 28360-5682 | 2019-03-29 |
| 1770059941 | Ciara Nicole Branch | Nurse Practitioner | 4901 Dawn Dr Ste 3100, Lumberton, NC 28360-0007 | 2018-10-15 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1215414321 | Jana Lee Swearingen | Nurse Practitioner | 139 Jace Dr, Lumberton, TX 77657-5997 | 2018-07-21 |
| 1053897611 | Marshil Bullard Locklear | Nurse Practitioner | 106 Farm Brook Dr Ste A, Lumberton, NC 28358-2178 | 2018-07-17 |
| 1366992554 | Claudia Monah Teh | Nurse Practitioner | 51 Jasmine Rd, Lumberton, NJ 08048-5285 | 2016-10-11 |
| 1861514481 | Dawn Barberi | Nurse Practitioner | 4 Windermere Dr, Lumberton, NJ 08048-5802 | 2007-04-04 |
| Find all providers in LUMBERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.