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

Coastal Southeastern Family Practice, PLLC

Organization Family Nurse Practitioner · NPI 1699067488

Coastal Southeastern Family Practice, PLLC is a Family Nurse Practitioner in Pembroke, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

205 W 3rd St
Pembroke, NC 28372-8768
Phone: (910) 521-0099
Fax: (910) 521-0088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5005148 (NC)

Record details

NPI number1699067488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katara Chavis — President · (910) 521-0099
NPI enumeratedMay 11, 2011
Last updated in NPPESMarch 7, 2017
Mailing address205 W 3rd St, Pembroke, NC 28372-8768

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