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

Mrs. Lecia Wooten Reardon, NP

Individual provider Nurse Practitioner · NPI 1639226418

Mrs. Lecia Wooten Reardon, NP is a Nurse Practitioner in Kenansville, North Carolina. Qualified in 2003, 23 years ago. Practices with County of Duplin, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2007
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.

See every abbreviation used in this directory →

Practice location Address checks out

340 Seminary St
Kenansville, NC 28349-8978
Phone: (910) 296-2130
Fax: (910) 296-0252
Show map & directions

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

Additional practice locations (1)

  • 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 — (888) 849-7379

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201848 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 201848 (NC)

Record details

NPI number1639226418
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 4, 2007
Last updated in NPPESSeptember 11, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice County Of Duplin — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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