Provider Demographics
NPI:1629486204
Name:PORTER, REBECCA (NP)
Entity Type:Individual
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First Name:REBECCA
Middle Name:
Last Name:PORTER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:BOX 3961
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-668-1011
Mailing Address - Fax:919-668-1091
Practice Address - Street 1:2400 PRATT ST
Practice Address - Street 2:SUITE 9000
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3976
Practice Address - Country:US
Practice Address - Phone:919-668-1011
Practice Address - Fax:919-668-1091
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
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Provider Licenses
StateLicense IDTaxonomies
NC5007016363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner