Individual provider · Type 1 NPI

Telica Chang Fong, FNP-C

Family Nurse Practitioner · Lillington, NC

NPI number 1285109728 Active

Practice location

40 Autumn Fern Trl
Lillington, NC 27546-5155

Mailing address

170 Tidworth Ct
Raeford, NC 28376-6662

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9247339 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1285109728

Telica Chang Fong, FNP-C's National Provider Identifier is 1285109728, issued on Oct 11, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lillington, NC. The record was last updated on Oct 11, 2018.