Hometown Primary Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOMETOWN PRIMARY CARE PLLC

Practice address

102 N Main Street
Suite 2
Kenansville, NC 28349-0001

Phone

(910) 275-0195

Fax

(910) 275-0192

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Teresa Ann Holland, NP

Title

Owner

Phone

(910) 275-0195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1891049243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490009",
            "telephone_number": "910-275-0195",
            "fax_number": "910-275-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN STREET",
            "address_2": "SUITE 2",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490001",
            "telephone_number": "910-275-0195",
            "fax_number": "910-275-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-275-0195",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthaccess, Inc
• Healthaccess, Inc
• Healthaccess, Inc
• Teresa Ann Holland, FNP-BC
• Jordan Walter Holmgren, DDS
• Hope in the Carolina, L.L.C.
• Hope in the Carolina, LLC
• Hope in the Carolina, LLC
• Hope Inthe Carolina, L.L.C.
• Howell Support Services

• All providers in Kenansville, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.