Individual provider · Type 1 NPI
Heidi Ellen Jumbercotta, NURSE PRACTITIONER
Acute Care Nurse Practitioner · Fayetteville, NC
NPI number
1265032536
Active
Practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
2402 Market St
Wilmington, NC 28403-1136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 5013687 (NC) |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 5013687 (NC) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 5013687 (NC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1265032536
Heidi Ellen Jumbercotta, NURSE PRACTITIONER's National Provider Identifier is 1265032536, issued on Oct 27, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 24, 2026.