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

Jeffrey Wayne Autry, FNP

Individual provider Nurse Practitioner · NPI 1063474559

Jeffrey Wayne Autry, FNP is a Nurse Practitioner in Clinton, North Carolina. Qualified in 2001, 25 years ago. Practices with Wallace Urgent Care LLC, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
25
Licensed in
NC
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1004 Beamon St
Clinton, NC 28328-0227
Phone: (910) 592-9113
Fax: (910) 590-0050
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 105149 (NC)

Record details

NPI number1063474559
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESNovember 21, 2007
Mailing address1004 Beamon St., Clinton, NC 28328-0227

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Wallace Urgent Care Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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