Healthcare Provider Details

I. General information

NPI: 1255204202
Provider Name (Legal Business Name): NU MOBILE LOGISTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14101 CAPITAL BLVD # 208 208
YOUNGSVILLE NC
27596-0166
US

IV. Provider business mailing address

14101 CAPITAL BLVD # 208
YOUNGSVILLE NC
27596-0166
US

V. Phone/Fax

Practice location:
  • Phone: 919-741-3951
  • Fax: 919-869-1671
Mailing address:
  • Phone: 919-741-3951
  • Fax: 919-869-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATARSHA CRUMPLER
Title or Position: CEO
Credential:
Phone: 919-741-3951