TELICA CHANG FONG FNP-C
NPI 1285109728
Nurse Practitioner - Family in Lillington, NC

Active since October 11, 2018
40 AUTUMN FERN TRL, LILLINGTON, NC 27546(910) 364-0971 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Telica Chang Fong Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELICA CHANG FONG FNP-C (NPI 1285109728) is an individual family provider in Lillington, North Carolina, licensed in Florida (9247339) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1285109728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTELICA CHANG FONGCredential: FNP-C
Location Address40 AUTUMN FERN TRLLillington, NC 27546-5155
Mailing Address170 Tidworth CtRaeford, NC 28376-6662 · (813) 841-6663
Sole ProprietorNo
Enumeration DateOctober 11, 2018
NPI 1285109728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 9247339
40 AUTUMN FERN TRL, Lillington, NC 27546

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Family)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Physician Assistant
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Pharmacist
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Physician Assistant
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Family)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Nurse Practitioner (Primary Care)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546
Pharmacist (Geriatric)
40 AUTUMN FERN TRL
LILLINGTON, NC 27546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Telica Chang Fong's NPI number?

The NPI number for Telica Chang Fong is 1285109728. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Telica Chang Fong located?

Telica Chang Fong practices at 40 Autumn Fern Trl, Lillington, NC 27546. The listed phone number is (910) 364-0971.

What is Telica Chang Fong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Telica Chang Fong was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.