Organization
CAROLINA'S MEDICAL & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER COUGHENOUR FNP (OWNER)
(910) 506-8474
Entity
Organization
Contact information
Practice address
821A S MAIN ST, LAURINBURG, NC 28352-4724
(910) 506-8474
(855) 736-1881
Mailing address
821A S MAIN ST, LAURINBURG, NC 28352-4724
(910) 506-8474
(855) 736-1881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
03/13/2024
Last updated
08/05/2025
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