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Contact Information

HEIDI E JUMBERCOTTA, NURSE PRACTITIONER
1638 OWEN DR
FAYETTEVILLE, NC28304-3424
 Phone: 910-615-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HEIDI E JUMBERCOTTA · (Female)

NPI Number 1265032536
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 10/27/2020
Last updated 03/03/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 5013687
Hospital affiliation(s)
  • CAPE FEAR VALLEY MEDICAL CENTER - (Acute Care)
    1638 OWEN DRIVE P O BOX 2000
    FAYETTEVILLE, NC 28302
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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