Healthcare Provider Details

I. General information

NPI: 1881672491
Provider Name (Legal Business Name): TERESA IVESTER MCSWAIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 E KING ST
KINGS MOUNTAIN NC
28086-3186
US

IV. Provider business mailing address

827 E KING ST
KINGS MOUNTAIN NC
28086-3186
US

V. Phone/Fax

Practice location:
  • Phone: 704-734-4550
  • Fax: 704-734-4540
Mailing address:
  • Phone: 704-734-4550
  • Fax: 704-734-4540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200967
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: