Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fair Bluff Medical Clinic PLLC

Organization Nurse Practitioner · NPI 1699661652

Fair Bluff Medical Clinic PLLC provides Nurse Practitioner services in Fair Bluff, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12291 Andrew Jackson Hwy SW
Fair Bluff, NC 28439-9597
Phone: (910) 207-2714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1699661652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Blackwell — Owner · (910) 374-0722
NPI enumeratedJune 16, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address12291 Andrew Jackson Hwy Sw, Fair Bluff, NC 28439-9597