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

Nicole Latulip

Individual provider Pediatric Nurse Practitioner · NPI 1073190203

Nicole Latulip is a Nurse Practitioner in Creedmoor, North Carolina. Qualified in 2020, 6 years ago. Practices with Granville Health System, a 80-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021

Practice location Address checks out

1614 NC-56
Creedmoor, NC 27522
Phone: (919) 575-6103
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5020624 (NC)

Record details

NPI number1073190203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 25, 2021
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address1010 College St, Oxford, NC 27565-2507

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Granville Health System — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Creedmoor