Provider Demographics
NPI:1699663708
Name:PIGFORD, JENNIFER LAURIA (RN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LAURIA
Last Name:PIGFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CRESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4408
Mailing Address - Country:US
Mailing Address - Phone:919-349-3502
Mailing Address - Fax:
Practice Address - Street 1:1200 MURCHISON RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4298
Practice Address - Country:US
Practice Address - Phone:910-672-2892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC293131163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical