Healthcare Provider Details

I. General information

NPI: 1790634459
Provider Name (Legal Business Name): LA'QUASHA MCNAIR FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 US HIGHWAY 220 N
SUMMERFIELD NC
27358-9207
US

IV. Provider business mailing address

4601 US HIGHWAY 220 N
SUMMERFIELD NC
27358-9207
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024190
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: