Phelps Family Practice, Pllc

LBN: Phelps Family Practice, Pllc
Phelps Family Practice, Pllc is an health care organization with primary practice located at 204 Smith Ave , Shallotte NC 28470-4458. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Phelps Family Practice, Pllc can be contacted via phone (910) 842-2443, or through Phelps, Shannon Bardin via phone (910) 842-2443.

Contact Information

Primary practice address
204 Smith Ave Shallotte NC 28470-4458
Phone: (910) 842-2443
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phelps, Shannon Bardin Family Nurse Practitioner (FNP)
Phone: (910) 842-2443

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1285830414
LBN Legal business name Phelps Family Practice, Pllc
DBA Doing business as
Authorized official Phelps, Shannon Bardin Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285830414 NPPES
North Carolina Other 201344 APPROVAL NUMBER,BOM

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