Organization · Type 2 NPI

Fair Bluff Medical Clinic PLLC

Nurse Practitioner · Fair Bluff, NC

NPI number 1699661652 Active

Practice location

12291 Andrew Jackson Hwy SW
Fair Bluff, NC 28439-9597

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1699661652

Fair Bluff Medical Clinic PLLC's National Provider Identifier is 1699661652, issued on Jun 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fair Bluff, NC. The record was last updated on Oct 22, 2026.