Healthcare Provider Details

I. General information

NPI: 1679355531
Provider Name (Legal Business Name): ACCESS 1 MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 BLAND RD
RALEIGH NC
27609-6125
US

IV. Provider business mailing address

4320 BLAND RD
RALEIGH NC
27609-6125
US

V. Phone/Fax

Practice location:
  • Phone: 919-322-2858
  • Fax:
Mailing address:
  • Phone: 919-322-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FELISTA NJOROGE
Title or Position: FNP/OWNER
Credential:
Phone: 919-322-2858