Healthcare Provider Details

I. General information

NPI: 1710823653
Provider Name (Legal Business Name): LAURA WHITE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

879 GASTON SELLERS RD
WHITEVILLE NC
28472-8504
US

IV. Provider business mailing address

879 GASTON SELLERS RD
WHITEVILLE NC
28472-8504
US

V. Phone/Fax

Practice location:
  • Phone: 910-640-0105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF03260837
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF03260837
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03260837
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF03260837
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberF03260837
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: