Healthcare Provider Details

I. General information

NPI: 1417874256
Provider Name (Legal Business Name): JONATHAN RYAN FURR PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 GRACE DANIELS RD
BAYBORO NC
28515-3300
US

IV. Provider business mailing address

701 WARD FIELD RD
VANCEBORO NC
28586-8483
US

V. Phone/Fax

Practice location:
  • Phone: 252-745-3200
  • Fax:
Mailing address:
  • Phone: 252-229-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP041954
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: