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

Mr. Jeffrey Lynn Vanderburg, NP

Individual provider Nurse Practitioner · NPI 1487117461

Mr. Jeffrey Lynn Vanderburg, NP is a Nurse Practitioner in Kernersville, North Carolina. Qualified in 2019, 7 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

291 Broad St
Kernersville, NC 27284-2932
Phone: (336) 993-8181
Fax: (336) 996-9539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012759 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 171504 (NC)

Record details

NPI number1487117461
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

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 Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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