Nurse Practitioner, Pediatrics
MAKALA NEW PNP-PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548148943 · enumerated 2025-08-25 · record updated 2026-09-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 106 HYANNIS DR, HOLLY SPRINGS, NC, 27540-8327 (919) 249-4700 Fax (919) 249-4701 Google Maps Apple Maps OpenStreetMap
- Practice location 106 HYANNIS DR, HOLLY SPRINGS, NC, 27540-8327 (919) 249-4700 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 5024637 NC
- Registered Nurse 163W00000X · License 327353 NC
In this directory
Locations and evidence
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Practice location
HOLLY SPRINGS, NC, 275408327
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.