Healthcare Provider Details

I. General information

NPI: 1952221418
Provider Name (Legal Business Name): EMILY O'ROURKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 PARKWAY OFFICE CT STE 201
CARY NC
27518-7425
US

IV. Provider business mailing address

808 CORBETT RD
CLAYTON NC
27520-8498
US

V. Phone/Fax

Practice location:
  • Phone: 919-476-1118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202631750
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: