Healthcare Provider Details

I. General information

NPI: 1508774324
Provider Name (Legal Business Name): FELICIA BIVENS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N CENTER ST STE 102
HICKORY NC
28601-5036
US

IV. Provider business mailing address

PO BOX 14
CONNELLY SPRINGS NC
28612-0014
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-2005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5025473
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number232862
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: