Healthcare Provider Details

I. General information

NPI: 1497738744
Provider Name (Legal Business Name): JERI ALLISON MCCARSON DNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 CEDAR POINT BLVD
CEDAR POINT NC
28584-8012
US

IV. Provider business mailing address

702 CEDAR POINT BLVD
CEDAR POINT NC
28584-8012
US

V. Phone/Fax

Practice location:
  • Phone: 252-470-9345
  • Fax: 949-864-3138
Mailing address:
  • Phone: 252-470-9345
  • Fax: 949-864-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberCNM65
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number65
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: