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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

NPI # 1194282285
LBN Legal business name UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES
Authorized official JEFFERY HOWARD - (VICE CHANCELLOR FOR STUDENT AFFAIRS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2019
Last updated 12/01/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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