Healthcare Provider Details

I. General information

NPI: 1982328126
Provider Name (Legal Business Name): REBECCA KEITH TALBERT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W MAIN ST
HAMLET NC
28345-3322
US

IV. Provider business mailing address

PO BOX 717
CARTHAGE NC
28327-0717
US

V. Phone/Fax

Practice location:
  • Phone: 910-205-0400
  • Fax:
Mailing address:
  • Phone: 910-690-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5016979
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: