Organization · Type 2 NPI
Divine Medical LLC
Family Nurse Practitioner · Green Mountain, NC
NPI number
1740131945
Active
Practice location
944 Long Branch Rd
Green Mountain, NC 28740-6056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1740131945
Divine Medical LLC's National Provider Identifier is 1740131945, issued on Feb 4, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Mountain, NC. The record was last updated on Oct 7, 2026.