Healthcare Provider Details

I. General information

NPI: 1760172134
Provider Name (Legal Business Name): SARAI WIGGINS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 HOSPITAL RD
GOLDSBORO NC
27534-9424
US

IV. Provider business mailing address

PO BOX 52411
PHOENIX AZ
85072-2411
US

V. Phone/Fax

Practice location:
  • Phone: 919-785-3400
  • Fax:
Mailing address:
  • Phone: 919-785-3400
  • Fax: 919-783-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5018080
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: