person
Reagan L Ivey, NP
Primary Care Nurse Practitioner in Fayetteville, North Carolina
NPI 1164414538

Reagan L Ivey is a Primary Care Nurse Practitioner based in Fayetteville, NC and is specialized in Primary Care. Reagan L Ivey practices in Fayetteville, NC and has the professional credentials of NP. The NPI Number for Reagan L Ivey is 1164414538 and holds a License No. 900401 (North Carolina).

The current practice location address for Reagan L Ivey is 215 Kinlaw Rd, Fayetteville, NC and can be reached out via phone at 919-588-1998 and via fax at 888-987-4108.

Location: 215 Kinlaw Rd, Fayetteville, NC, 28311-1431
person
Provider Profile Details
NPI Number
1164414538
Provider Name
Reagan L Ivey
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
215 Kinlaw Rd, Fayetteville, NC, 28311-1431
Phone Number
919-588-1998
Fax Number
888-987-4108
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NCB791C615 01 NC MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
215 Kinlaw Rd
City
State
Zip
28311-1431
Phone Number
919-588-1998
Fax Number
888-987-4108
person
Provider Business Mailing Address Details
Address
215 Kinlaw Rd
City
State
Zip
28311-1431
Phone Number
919-588-1998
Fax Number
888-987-4108
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
900401 (North Carolina)
Definition
Definition to come...
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