Deborah Jackson Warren
Nurse Practitioner - Community Health
307 W Cornelius Harnett Blvd
Lillington
, North Carolina 27546-9335
Deborah Jackson Warren
Nurse Practitioner - Community Health
307 W Cornelius Harnett Blvd
Lillington
, North Carolina 27546-9335
(910) 893-9429
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Deborah Jackson Warren
- 195 Sandy Ridge Rd
- Dunn, NC
- Zip : 28334-8870
- Fax : (910) 893-9429
- Phone : (910) 892-2148
Second Address
- Deborah Jackson Warren
- 307 W Cornelius Harnett Blvd
- Lillington, NC
- Zip : 27546-9335
- Fax : (910) 893-9429
- Phone : (910) 814-6280
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 200304 | NC |
National Provider Identifier
| NPI | 1578603254 |
|---|---|
| Provider Name | Deborah Jackson Warren |
| First Address | Dunn, NC 28334-8870 |
| Second Address | Lillington, NC 27546-9335 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07212 | BCBSNC (01) | NC |
| 183296 | MEDCOST (01) | NC |
| NC3404343 | (05) | NC |
| NC3404456 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.