FAYETTEVILLE ADVANCED PRACTITIONERS


Address: 2915 Raeford Rd, Fayetteville, NC 28303-5508
Phone: 9106702047

FAYETTEVILLE ADVANCED PRACTITIONERS (NPI# 1629494265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629494265
Entity Type Organization
Organization Name FAYETTEVILLE ADVANCED PRACTITIONERS
Practice Address 2915 Raeford Rd
Fayetteville
NC 28303-5508
Mailing Address 2915 Raeford Rd
Fayetteville
NC 28303
Practice Telephone 9106702047
Mailing Telephone 9106702047
Enumeration Date 2014-03-06
Last Update Date 2014-03-26
Authorized Official Name JAMIE ANN DICKERHOFF (NURSE PRACTITIONER, OWNER)
Authorized Official Telephone 9106702047
Authorized Official Credential FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
164680 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
148570 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC NPI 245538461 01
NC NPI 1386970572 01

Office Location

Street Address 2915 RAEFORD RD
City FAYETTEVILLE
State NC
Zip Code 28303-5508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386623361 Dawn Fowler Barnes Nurse Practitioner 2915 Raeford Rd, Ste 203, Fayetteville, NC 28303-5508 2006-01-10
1326221847 Mdfamily Medical Group Pediatrics 2915 Raeford Rd, Fayetteville, NC 28303-5508 2007-12-06
1508943002 Angela R. Edwards Psychologist 2915 Raeford Rd, 204, Fayetteville, NC 28303-5508 2006-11-01
1255416343 Dionne Hall Counselor 2915 Raeford Rd, Suite 204, Fayetteville, NC 28303-5508 2006-10-26
1659453298 Sonia M. Rhodie Psychologist 2915 Raeford Rd, Suite 204, Fayetteville, NC 28303-5508 2006-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1952920449 Vonetta Bethea Jackson Social Worker 391 Wagoner Drive, Fayetteville, NC 28303 2020-04-14
1932746229 Julie Harriss Specialist/Technologist Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 2019-12-05
1235780354 Helen Delores Johnson Technician 261 Pierron Dr, Fayetteville, NC 28303 2019-09-20
1922655075 Andrea Margaret Hutnam Technician 714 Shortridge Rd, Fayetteville, NC 28303 2019-08-23
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1780148957 Brian K Cox Sr. Occupational Therapy Assistant 5300 Ramsey St, Fayetteville, NC 28303 2019-01-22
1730670902 Michael Sadtler Counselor 804 Stamper Rd Ste 101, Fayetteville, NC 28303 2018-05-23
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1154835577 Jessica Bass Bosworth Psychologist 3415 Youngstown Dr, Fayetteville, NC 28303 2017-11-21
Find all providers in zip 28303

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528674181 Maggie Mullican Nurse Practitioner 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 2020-09-18
1720690167 Stephen Arthur Lepak Nurse Practitioner 6871 Appleton Dr, Fayetteville, PA 17222-9383 2020-08-18
1750990255 Towauna Daya Nurse Practitioner 1338 Redwine Rd, Fayetteville, GA 30215-2509 2020-07-30
1316555642 Constance Ofundem Takang Nurse Practitioner 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 2020-07-22
1851916472 Breanna Mills Nurse Practitioner 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 2020-06-09
1922621069 Laura Sarai Perez Nurse Practitioner 480 Lees Lake Rd, Fayetteville, GA 30214-3106 2020-05-23
1902431125 Crystal Baker English Nurse Practitioner 113 Old Bethel Rd, Fayetteville, TN 37334-6186 2020-03-09
1568092708 Stephanie Elizabeth Fields Nurse Practitioner 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 2020-01-15
1437616364 Andrea Teal Bergman Nurse Practitioner Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 2019-02-27
1639634447 Arica Adams-gro'ce Nurse Practitioner 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 2019-02-06
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28303

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Dataset Information

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.

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