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

Mrs. Laci Jo Vanderboegh, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1629824032

Mrs. Laci Jo Vanderboegh, MSN, FNP-C is a Nurse Practitioner in Wilson, North Carolina. Qualified in 2023, 3 years ago. Practices with Ibrahim Heart Clinic PLLC, a 42-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1700 Tarboro St W Ste 100
Wilson, NC 27893-3481
Phone: (252) 399-5314
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 5019962 (NC)

Record details

NPI number1629824032
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ibrahim Heart Clinic Pllc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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