Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Headache Clinic PLLC

Organization Nurse Practitioner · NPI 1760139323

Coastal Headache Clinic PLLC is a Nurse Practitioner in Jacksonville, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1715 Country Club Rd Ste B
Jacksonville, NC 28546-6042
Phone: (910) 238-2050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1760139323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terra Kamp — President · (614) 571-4245
NPI enumeratedMarch 3, 2022
Last updated in NPPESSeptember 17, 2022
Certification dateSeptember 17, 2022
Mailing address1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042

Other providers in Jacksonville