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

Jessica Nicole Fairfax

Individual provider Family Nurse Practitioner · NPI 1376181487

Jessica Nicole Fairfax is a Nurse Practitioner in Lumberton, North Carolina. Qualified in 2019, 7 years ago. Practices with UNC Physicians Network LLC, a 986-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone: (910) 739-3318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5070 Fayetteville Rd, Lumberton, NC 28358-2108 — (910) 739-0133

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07190414 (NC)

Record details

NPI number1376181487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2019
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Unc Physicians Network Llc — 986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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