Jennifer Durham, DNP-AGPCNP is a
Nurse Practitioner - Primary Care based in Pelham, North Carolina. Jennifer Durham is licensed to practice in North Carolina (license number 1932610706) and her current practice location is
147 Elvin Durham Rd, Pelham, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(434) 441-7211.
NPI number for Jennifer Durham is 1629776984 and her current mailing address is 405 Thompson St, Eden, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629776984.
Provider's Profile
Full Name | Jennifer Durham |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 147 Elvin Durham Rd, Pelham, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629776984
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 01/06/2024
Medical Identifiers
Medical identifiers for Jennifer Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629776984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 256042 (North Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 1932610706 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Durham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Durham, DNP-AGPCNP 405 Thompson St, Eden, NC 27288-5045 Ph: (336) 627-4896 | Jennifer Durham, DNP-AGPCNP 147 Elvin Durham Rd, Pelham, NC 27311-8635 Ph: (434) 441-7211 |
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