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Tina Jean Bumgarner, ANPC
Nurse Practitioner in Southport, North Carolina
NPI 1598932683

Tina Jean Bumgarner is a Nurse Practitioner based in Southport, NC. Tina Jean Bumgarner practices in Southport, NC and has the professional credentials of ANPC. The NPI Number for Tina Jean Bumgarner is 1598932683 and holds a License No. 5003968 (North Carolina).

The current practice location address for Tina Jean Bumgarner is 4654 Long Beach Rd Se, Southport, NC and can be reached out via phone at 104-570-0709 and via fax at 910-320-8449.

Location: 4654 Long Beach Rd Se, Southport, NC, 28461-8799
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598932683
Provider Name
Tina Jean Bumgarner
Credential
ANPC
Provider Entity Type
Individual
Gender
Female
Address
4654 Long Beach Rd Se, Southport, NC, 28461-8799
Phone Number
104-570-0709
Fax Number
910-320-8449
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NCF599B 01 NC MEDICARE PTAN
7902054 05 NC
institution
Provider Business Practice Location Address Details
Address
4654 Long Beach Rd Se
City
Southport
State
North Carolina
Zip
28461-8799
Phone Number
104-570-0709
Fax Number
910-320-8449
person
Provider Business Mailing Address Details
Address
4654 Long Beach Rd Se
City
Southport
State
North Carolina
Zip
28461-8799
Phone Number
104-570-0709
Fax Number
910-320-8449
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5003968 (North Carolina)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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