Provider Demographics
NPI:1265239719
Name:MCNEILL, FELICIA RENEE (FNP-BC)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:RENEE
Last Name:MCNEILL
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 BROADHILL LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-8009
Mailing Address - Country:US
Mailing Address - Phone:910-929-8192
Mailing Address - Fax:
Practice Address - Street 1:190 LEXIE LN
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:NC
Practice Address - Zip Code:28326-4206
Practice Address - Country:US
Practice Address - Phone:910-493-3819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily