Healthcare Provider Details

I. General information

NPI: 1467305417
Provider Name (Legal Business Name): FIDELITY HEALTHCARE STAFFING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 SHAMROCK RD
EDEN NC
27288-2848
US

IV. Provider business mailing address

418 SHAMROCK RD
EDEN NC
27288-2848
US

V. Phone/Fax

Practice location:
  • Phone: 336-312-2351
  • Fax:
Mailing address:
  • Phone: 336-612-2351
  • Fax: 336-612-2351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WEBB HALE
Title or Position: CEO
Credential: LPN
Phone: 336-589-0746