Deborah Jackson Warren, RN,FNP

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

200304 Issued in NC

Practice address

307 W Cornelius Harnett Blvd
Lillington, NC 27546-9335

Phone

(910) 814-6280

Fax

(910) 893-9429

NPI assigned

Feb 8, 2007

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578603254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SANDY RIDGE RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283348870",
            "telephone_number": "910-892-2148",
            "fax_number": "910-893-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W CORNELIUS HARNETT BLVD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469335",
            "telephone_number": "910-814-6280",
            "fax_number": "910-893-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DEBORAH",
        "middle_name": "JACKSON",
        "credential": "RN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "200304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC3404343",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC3404456",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "183296",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "07212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Lee Vurnakes, MD
• Jenny F Wagstaff, PHD, LPC-S, NCC, ACS
• Shauna Waldon
• Nia Walker
• Robert Waiyaki Wanjiru
• Kayla Lynne Watts
• Way2Learn, LLC
• Kayla Weaver
• Tyler Weiland
• Misty Dawn White, NP

• Community Health Nurse Practitioner in Lillington, NC
• Providers in Lillington, NC by specialty
• Community Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.