Provider Demographics
NPI:1427544915
Name:BEKING, FAITH (FNP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:BEKING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 E 5TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:TABOR CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28463-2335
Mailing Address - Country:US
Mailing Address - Phone:910-377-8002
Mailing Address - Fax:910-377-8032
Practice Address - Street 1:706 E 5TH ST
Practice Address - Street 2:UNIT B
Practice Address - City:TABOR CITY
Practice Address - State:NC
Practice Address - Zip Code:28463-2335
Practice Address - Country:US
Practice Address - Phone:910-377-8002
Practice Address - Fax:910-377-8032
Is Sole Proprietor?:No
Enumeration Date:2018-07-08
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC268858363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1427544915Medicaid
NC1427544915OtherNON-MEDICARE