Organization · Type 2 NPI

Southmountain Children and Family Services

Family Nurse Practitioner · Boone, NC

NPI number 1033462148 Active

Practice location

8076 Hwy 105 South
Boone, NC 28607

Call (828) 963-9777 Map

Mailing address

PO Box 3387
Morganton, NC 28680-3387

Other practice locations

105 Niley Cook Rd, Blowing Rock, NC 28605-9553 · (828) 584-1105
105 Niley Cook Rd, Blowing Rock, NC 28605-9553 · (828) 584-1105

Specialties and licenses

Taxonomy	Code	License
Specialist	174400000X	None listed
Family Medicine Physician	207Q00000X	None listed
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner Primary	363LF0000X	None listed
Pediatric Nurse Practitioner	363LP0200X	None listed

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Boone

See all in Boone →

NPI record

NPI: 1033462148
Entity type: Organization (Type 2)
Issued: Oct 26, 2012
Last updated: May 16, 2019
Status: Active

Other names

<unavail>
Children's Advocacy Center of the Blue Ridge · doing business as
Children's Advocacy Center of the Blue Ridge · doing business as

Authorized official

Mr. William Jernigan
Executive Director
(828) 584-1105

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1033462148

Southmountain Children and Family Services's National Provider Identifier is 1033462148, issued on Oct 26, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boone, NC. The record was last updated on May 16, 2019.