Most Relevant Information
Provider Data
| NPI Number: | 1003460569 |
| Provider Name: | SHAUN FITZPATRICK FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5012060 |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 10/25/2021 |
Provider Practice Location
162 NC HIGHWAY 33 E
TARBORO
NC
278868582
Practice Location Phone/Fax
| Phone: | 2526410514 |
| Fax: | 2522432576 |
Provider Mailing Location
303 GREEN ST E
WILSON
NC
278934105
Provider Mailing Phone/Fax
| Phone: | 2522930013 |
| Fax: | 2522432576 |