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HIGHLAND PRIMARY CARE PLLC NPI 1508215963


NPI Information

NPI: 1508215963
Provider Name: HIGHLAND PRIMARY CARE, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 34D2115167

Address:
513 LAUCHWOOD DR
LAURINBURG, NC
ZIP 28352
Phone: (910) 506-4510
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HIGHLAND PRIMARY CARE, PLLC is a family nurse practitioner in Laurinburg, NC. HIGHLAND PRIMARY CARE, PLLC NPI is 1508215963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

513 LAUCHWOOD DR
LAURINBURG, NC
ZIP 28352-502
Phone: (910) 506-4510
Fax: (910) 506-4527

The provider's authorized official is Donna Edge Gibson .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (910) 506-4510.

The CLIA number assigned to this NPI record is 34D2115167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 1/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily183257NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11487997565OTHERNORTH CAROLINANPI
21356683106OTHERNORTH CAROLINANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.