Active NPIIndividual provider

Patricia Stark, FNP

Nurse Practitioner, Family in Jacksonville, North Carolina

NPI Number1891025763
Practice location
118 Memorial Dr, Jacksonville, NC 28546-6328
Fax
910-353-1351
Last updated
November 6, 2023

Patricia Stark is a Nurse Practitioner, Family based in Jacksonville, NC. Patricia Stark practices in Jacksonville, NC and has the professional credentials of FNP. The NPI Number for Patricia Stark is 1891025763 and holds a License No. 5004569 (NC). The current practice location address for Patricia Stark is 118 Memorial Dr, Jacksonville, NC 28546-6328 and can be reached out via phone at 910-353-0581 and via fax at 910-353-1351.

Provider Profile Details

NPI Number
1891025763
Provider Name
Patricia Stark
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
118 Memorial Dr, Jacksonville, NC 28546-6328
Phone Number
910-353-0581
Fax Number
910-353-1351
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 28, 2009
Last Update Date
November 6, 2023
Certification Date
November 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Memorial Dr
Jacksonville, NC 28546-6328
Zip
28546-6328
Phone Number
910-353-0581
Fax Number
910-353-1351
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
5004569
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 Patricia Stark, FNP?

The NPI number of Patricia Stark, FNP is 1891025763. It was assigned on December 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Patricia Stark, FNP?

Patricia Stark, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NC under license number 5004569.

Where does Patricia Stark, FNP practice?

The practice location is 118 Memorial Dr, Jacksonville, NC 28546-6328. The office can be reached at 910-353-0581 (phone) or 910-353-1351 (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 1891025763 directly on the NPPES registry website.

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