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Contact Information

UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES
113 HAWK DRIVE
PEMBROKE, NC28372
 Phone: 910-521-6219
 Fax: 910-521-6549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES · (Female)

NPI # 1194282285
Status Active
Credentials
Entity Individual
Enumeration date 02/25/2019
Last updated 12/01/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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