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

Taiwo Adeblola Fubara

Individual provider Family Nurse Practitioner · NPI 1518554617

Taiwo Adeblola Fubara is a Nurse Practitioner in Dunn, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolina Physical Therapy Associates LLC, a 495-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

803 Tilghman Dr Ste 100
Dunn, NC 28334-6699
Phone: (910) 892-1091
Fax: (910) 892-1097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 422 Rolling Meadows Dr, Clayton, NC 27527-8339 — (918) 809-7702

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5013965 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence F08200300 (NC)

Record details

NPI number1518554617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2020
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

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 Carolina Physical Therapy Associates Llc — 495 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dunn