Healthcare Provider Details

I. General information

NPI: 1689595076
Provider Name (Legal Business Name): SARAH MEDLEY CARPENTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 N 4TH ST
WILMINGTON NC
28401-3450
US

IV. Provider business mailing address

449 ROSE AVE
WILMINGTON NC
28403-3437
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-0270
  • Fax:
Mailing address:
  • Phone: 910-231-0709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5024762
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: