Organization
COASTLINE URGENT CARE, PLLC
Active
Organization
COASTLINE URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA L YOST FNP (OWNER/ NURSE PRACTITIONER)
(910) 548-1589
Entity
Organization
Contact information
Practice address
25 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 548-1589
Mailing address
25 OFFICE PARK DR, JACKSONVILLE, NC 28546-3219
(910) 548-1589
(910) 353-0565
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/07/2024
Last updated
04/03/2025
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