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

Fayetteville Internal Medicine PLLC

Organization Family Nurse Practitioner · NPI 1417684135

Fayetteville Internal Medicine PLLC is a Family Nurse Practitioner in Fayetteville, North Carolina. Registered with an NPI since 2022.

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

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Practice location Address checks out

1766 Metromedical Dr
Fayetteville, NC 28304-3861
Phone: (910) 483-4856
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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

Record details

NPI number1417684135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Fortin — Office Manager · (910) 483-4680
NPI enumeratedAugust 3, 2022
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1766 Metromedical Dr, Fayetteville, NC 28304-3861

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