Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fayetteville Internal Medicine PLLC

Organization Family Nurse Practitioner · NPI 1417684135

Fayetteville Internal Medicine PLLC provides Family Nurse Practitioner services in Fayetteville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1766 Metromedical Dr
Fayetteville, NC 28304-3861
Phone: (910) 483-4856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1417684135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Fortin — Office Manager · (910) 483-4680
NPI enumeratedAugust 3, 2022
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1766 Metromedical Dr, Fayetteville, NC 28304-3861

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