Organization
VITA FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER I STURCKEN PA-C (OWNER)
(910) 677-9488
Entity
Organization
Contact information
Practice address
609 EXECUTIVE PL STE B, FAYETTEVILLE, NC 28305-5713
(910) 489-3185
Mailing address
609 EXECUTIVE PL STE B, FAYETTEVILLE, NC 28305-5713
(910) 677-9488
(866) 694-9185
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
01/31/2024
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