Provider Demographics
NPI:1952011926
Name:VESTAL, MEGAN ROBINSON (FNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ROBINSON
Last Name:VESTAL
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 1:57 FOX HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-9228
Mailing Address - Country:US
Mailing Address - Phone:828-206-2900
Mailing Address - Fax:
Practice Address - Street 1:88 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-8943
Practice Address - Country:US
Practice Address - Phone:828-765-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50117304363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care