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

Mrs. Edna Obehi Idehen, NP

Individual provider Family Nurse Practitioner · NPI 1780170571

Mrs. Edna Obehi Idehen, NP is a Nurse Practitioner in Concord, North Carolina. Qualified in 2017, 9 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
9
Licensed in
NC, SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Cabarrus Ave E
Concord, NC 28025-3699
Phone: (888) 849-7379
Fax: (855) 857-7333
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21790 (SC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5010620 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 21790 (SC)

Record details

NPI number1780170571
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Concord