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

Fair Bluff Medical Clinic PLLC

Organization Nurse Practitioner · NPI 1699661652

Fair Bluff Medical Clinic PLLC is a Nurse Practitioner in Fair Bluff, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
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

12291 Andrew Jackson Hwy SW
Fair Bluff, NC 28439-9597
Phone: (910) 207-2714
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1699661652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Blackwell — Owner · (910) 374-0722
NPI enumeratedJune 16, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address12291 Andrew Jackson Hwy Sw, Fair Bluff, NC 28439-9597