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

Adolly Fuabana

Individual provider Family Nurse Practitioner · NPI 1538951736

Adolly Fuabana is a Nurse Practitioner in Wendell, North Carolina. Qualified in 2025, 1 year ago. Practices with Physicians Eldercare PA, a 228-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

528 Impala Trce
Wendell, NC 27591-4447
Phone: (919) 641-6584
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5022499 (NC)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 2025008446 (NC)

Record details

NPI number1538951736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wendell