MS. PAULA F NEW


Address: 3221 Henderson Dr, Jacksonville, NC 28546-5251
Phone: 9102198326

MS. PAULA F NEW (NPI# 1700819372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700819372
Entity Type Individual
Full Name MS. PAULA F NEW
Other Name MS. PAULA F HOUSMAN-NEW
Practice Address 3221 Henderson Dr
Jacksonville
NC 28546-5251
Mailing Address 120 Memorial Dr
Jacksonville
NC 28546-6328
Practice Telephone 9102198326
Practice Fax Number 9109394269
Mailing Telephone 9102198326
Mailing Fax Number 9109394269
Enumeration Date 2006-07-08
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
201473 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
201473 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1700819372 05
NC TRICARE 562014989 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
118 Memorial Dr, Jacksonville, NC 285466328 9102198326 9105771150

Office Location

Street Address 3221 HENDERSON DR
City JACKSONVILLE
State NC
Zip Code 28546-5251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265584767 Martin's Pediatrics and Family Care Counselor 3221 Henderson Dr, Jacksonville, NC 28546-5251 2007-01-17

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 28546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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