Healthcare Provider Details

I. General information

NPI: 1417875543
Provider Name (Legal Business Name): ALL-AMERICAN CARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 BERRIEDALE DR
FAYETTEVILLE NC
28304-5503
US

IV. Provider business mailing address

1516 BERRIEDALE DR
FAYETTEVILLE NC
28304-5503
US

V. Phone/Fax

Practice location:
  • Phone: 910-747-3235
  • Fax: 910-491-1620
Mailing address:
  • Phone: 910-747-3235
  • Fax: 910-491-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE STAR HOLZWORTH
Title or Position: OWNER
Credential: LCAS
Phone: 910-747-3235