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NPI Code Detail

MEDICARE: REBECCA CLARK BUNCH NP

MEDICARE: REBECCA CLARK BUNCH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0024194276NC

General Provider Information

NPI Number : 1043197619
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA CLARK BUNCH NP
Provider Business Mailing Address
First Line : 804 E 12TH ST
Second Line :
City : ROANOKE RAPIDS
State : NC
Zip : 27870-3937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3121 MOSELEY DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4245
Country : US
Telephone Number : 252-758-4455
Fax Number : 252-758-6742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 05/26/2026

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Directions to “ REBECCA CLARK BUNCH NP” Practice Location

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