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Individual

MRS. HEIDI ELLEN JUMBERCOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
2402 MARKET ST, WILMINGTON, NC 28403-1136
(910) 367-2766

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5013687
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5013687
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
5013687
NC

Other

Enumeration date
10/27/2020
Last updated
03/03/2026
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