Healthcare Provider Details

I. General information

NPI: 1770132086
Provider Name (Legal Business Name): NORMA JEAN BURDETTE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 P AND J RD
ROBBINSVILLE NC
28771-0510
US

IV. Provider business mailing address

191 P AND J RD
ROBBINSVILLE NC
28771-0510
US

V. Phone/Fax

Practice location:
  • Phone: 828-479-7900
  • Fax: 828-248-7736
Mailing address:
  • Phone: 828-479-7900
  • Fax: 828-248-7736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012229
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: