MRS. NECOLE FELICE FONVILLE (NPI# 1730511924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730511924 |
| Entity Type | Individual |
| Full Name | MRS. NECOLE FELICE FONVILLE |
| Credential | FNP |
| Practice Address |
1213 Culbreth Dr Lifesource of North Carolina/landfall Executive Suites Wilmington NC 28405-3639 |
| Mailing Address |
Po Box 538622 Lifesource of North Carolina Atlanta GA 30353-8622 |
| Practice Telephone | 9107429243 |
| Practice Fax Number | 8887461787 |
| Mailing Telephone | 9107429243 |
| Mailing Fax Number | 8887461787 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5006247 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5006247 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5006247 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1213 CULBRETH DR LIFESOURCE OF NORTH CAROLINA/LANDFALL EXECUTIVE SUITES |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621377 | Margaret B Collins | Internal Medicine | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2005-07-01 |
| 1306213251 | Faith Cook | Psychologist | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2015-08-26 |
| 1639589997 | Karis Pearson-parham | Psychologist | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2014-05-07 |
| 1518398692 | Pechar Enterprises, Inc. | In Home Supportive Care | 1213 Culbreth Dr, Ste. 215, Wilmington, NC 28405-3639 | 2013-11-27 |
| 1205274909 | Kimberly Bolen, Pllc | Psychologist | 1213 Culbreth Dr, Suite 125, Wilmington, NC 28405-3639 | 2013-06-05 |
| 1407292915 | Rebecca Thomson Blake | Social Worker | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2013-05-13 |
| 1912248790 | Michael James Dewulf | Psychologist | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2013-03-05 |
| 1497009617 | Angelica Shaver Pryor | Nurse Practitioner | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2012-11-09 |
| 1336491489 | All Care Home Care | Home Health | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2012-10-12 |
| 1457653966 | Synergy Homecare of Wilmington | Respite Care | 1213 Culbreth Dr, Ste 215, Wilmington, NC 28405-3639 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488428 | Samantha Kuhlman | Nurse Practitioner | 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 | 2020-08-21 |
| 1023630290 | Carole King Stevenson | Nurse Practitioner | 1111 Figueroa Pl # Tech115, Wilmington, CA 90744-2311 | 2020-05-11 |
| 1962031039 | Jasmine Marie Locklear | Nurse Practitioner | 2550 41st St, Wilmington, NC 28403-5519 | 2020-04-02 |
| 1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
| 1922569482 | Joy Peterson | Nurse Practitioner | 1815 W 13th St Ste 1, Wilmington, DE 19806-4054 | 2019-03-27 |
| 1104382308 | Caitlin Gallagher | Nurse Practitioner | 608 Dawson St Ste 103, Wilmington, NC 28401-5712 | 2019-02-13 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1538674767 | Angela M Mcnulty | Nurse Practitioner | 3521 Silverside Rd Ste 1c, Wilmington, DE 19810-4900 | 2017-12-11 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1952825168 | Alicia Camille Vogleson | Nurse Practitioner | 2601 Annand Dr Ste 3, Wilmington, DE 19808-3719 | 2017-07-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
Please comment or provide details below to improve the information on MRS. NECOLE FELICE FONVILLE.
| 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.