Individual
TABITHA DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304
(910) 615-5490
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5012049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228801
—
NC
Enumeration date
08/27/2019
Last updated
07/07/2025
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