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

University of North Carolina at Pembroke Student Health Services

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1356845309

University of North Carolina at Pembroke Student Health Services is an Adolescent Medicine (Family Medicine) Physician in Pembroke, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

113 Hawk Dr
Pembroke, NC 28372-1510
Phone: (910) 521-6219
Fax: (910) 521-6549
Show map & directions

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

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0000X · Licence 183091 (NC)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 183091 (NC)

Record details

NPI number1356845309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Howard — Vice Chancellor For Student Affairs · (910) 521-6175
NPI enumeratedMarch 22, 2018
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing addressPo Box 1510 Unc Pembroke Student Health Services, Pembroke, NC 28372-1510