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NPI Code Detail

MEDICARE: SHEILA LANE BLANKS FNP

MEDICARE: SHEILA LANE BLANKS FNP
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
1363LF0000XFamily Nurse Practitioner5005636NC

General Provider Information

NPI Number : 1184985335
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA LANE BLANKS FNP
Provider Business Mailing Address
First Line : 1340 WALTER REED RD STE 202
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4451
Country : US
Telephone Number : 910-504-3506
Fax Number : 910-504-3507
Provider Business Practice Location Address
First Line : 1357 WALTER REED RD STE 101
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4417
Country : US
Telephone Number : 910-504-3506
Fax Number : 910-504-3507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 12/08/2025

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Directions to “ SHEILA LANE BLANKS FNP” Practice Location

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