Healthcare Provider Details

I. General information

NPI: 1144994542
Provider Name (Legal Business Name): M D HERRING FNP-C PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 E MCRAINEY RD
SAINT PAULS NC
28384-9276
US

IV. Provider business mailing address

PO BOX 865
SAINT PAULS NC
28384-0865
US

V. Phone/Fax

Practice location:
  • Phone: 910-474-3810
  • Fax: 910-865-3894
Mailing address:
  • Phone: 910-474-3810
  • Fax: 910-865-3894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW DANIEL HERRING
Title or Position: OWNER
Credential: FNP-C
Phone: 910-474-3810