Jacqueline Elizabeth King, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013576 Issued in NC

Practice address

300 Mack Rd
Asheboro, NC 27205-1066

Phone

(336) 625-1172

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1184230401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOMEPLACE DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179600",
            "telephone_number": "336-318-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MACK RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272051066",
            "telephone_number": "336-625-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JACQUELINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Marie Kidd, MSW, LCSW-P
• Kidd's Connect OT, L.L.C.
• Lauren M Kime, NP-C
• Stephen W Kimmel, M.D.
• Fred G King Jr., OD
• Ronald L. King, NP
• James B. Kinlaw, MD
• Joshua Knight
• Julie Lee Kocher, LCAS
• Ashley Avelino Kohns, PT

• Family Nurse Practitioner in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.