Provider Demographics
NPI:1558684035
Name:NOEVERE, ERIC (FNP)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:NOEVERE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1899 N MARINE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6555
Mailing Address - Country:US
Mailing Address - Phone:910-347-1515
Mailing Address - Fax:910-815-2882
Practice Address - Street 1:1899 N MARINE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6555
Practice Address - Country:US
Practice Address - Phone:910-347-1515
Practice Address - Fax:910-815-2882
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004663363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner