Active NPIIndividual provider

Michael R Porcheron, FNP

Nurse Practitioner, Family in Jacksonville, North Carolina

NPI Number1588212997
Practice location
114 Memorial Dr Ste C, Jacksonville, NC 28546-6328
Fax
910-353-7498
Last updated
November 6, 2023

Michael Robert Porcheron is a Nurse Practitioner, Family based in Jacksonville, NC. Michael Robert Porcheron practices in Jacksonville, NC and has the professional credentials of FNP. The NPI Number for Michael Robert Porcheron is 1588212997 and holds a License No. 5012401 (NC). The current practice location address for Michael Robert Porcheron is 114 Memorial Dr Ste C, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-9688 and via fax at 910-353-7498.

Provider Profile Details

NPI Number
1588212997
Provider Name
Michael Robert Porcheron
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
114 Memorial Dr Ste C, Jacksonville, NC 28546-6328
Phone Number
910-353-9688
Fax Number
910-353-7498
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2019
Last Update Date
November 6, 2023
Certification Date
November 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Memorial Dr Ste C
Jacksonville, NC 28546-6328
Zip
28546-6328
Phone Number
910-353-9688
Fax Number
910-353-7498
Jacksonville, NC 28546Get directions →

Provider Business Mailing Address Details

Address
Po Box 986513
Department 100
Boston, MA 02298-6513
City
Boston
State
MA
Zip
02298-6513
Phone Number
910-219-8326
Fax Number
910-939-4269

License Information

License Number
5012401
License State
NC
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael R Porcheron, FNP?

The NPI number of Michael R Porcheron, FNP is 1588212997. It was assigned on August 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Michael R Porcheron, FNP?

Michael R Porcheron, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NC under license number 5012401.

Where does Michael R Porcheron, FNP practice?

The practice location is 114 Memorial Dr Ste C, Jacksonville, NC 28546-6328. The office can be reached at 910-353-9688 (phone) or 910-353-7498 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588212997 directly on the NPPES registry website.

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