Healthcare Provider Details

I. General information

NPI: 1609726934
Provider Name (Legal Business Name): PRIORITY CARE TELEHEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PINE DR
LITTLETON NC
27850-8502
US

IV. Provider business mailing address

200 PINE DR
LITTLETON NC
27850-8502
US

V. Phone/Fax

Practice location:
  • Phone: 252-673-2776
  • Fax:
Mailing address:
  • Phone: 252-673-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBIN LAMB BOHANON
Title or Position: FNP
Credential:
Phone: 252-673-4579