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Fayetteville Internal Medicine Pllc

Family Nurse Practitioner in Fayetteville, NC · enumerated 2022 · authorized official Jennifer Fortin, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417684135

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Registry record

Entity type Organization (Type 2)
Legal business name Fayetteville Internal Medicine Pllc
Practice address 1766 Metromedical Dr, Fayetteville, NC, 28304
Phone (910) 483-4856
Enumeration date Aug 3, 2022
Last updated in NPPES Dec 2, 2024

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Jennifer Fortin
Title Office Manager
Phone (910) 483-4680

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fayetteville Internal Medicine Pllc?
NPPES lists Jennifer Fortin (Office Manager) as the authorized official for this organization.
What is the NPI number for Fayetteville Internal Medicine Pllc?
The NPI for Fayetteville Internal Medicine Pllc is 1417684135, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-02.