Healthcare Provider Details

I. General information

NPI: 1376018333
Provider Name (Legal Business Name): KANDACE BURROUGHS BEST FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2018
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 GLENDALE DR W
WILSON NC
27893-2770
US

IV. Provider business mailing address

2000 PERIMETER PARK DR STE 200
MORRISVILLE NC
27560-8442
US

V. Phone/Fax

Practice location:
  • Phone: 252-399-7557
  • Fax: 252-399-1324
Mailing address:
  • Phone: 984-215-4110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5011150
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: