COASTAL HEADACHE CLINIC PLLC
NPI 1760139323
Nurse Practitioner in Jacksonville, NC

Active since March 03, 2022
1715 COUNTRY CLUB RD STE B, JACKSONVILLE, NC 28546(910) 238-2050 Get Directions Write a Review

NPPES record last updated: September 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2022, Mar 4, 2022 (2 updates tracked since 2022).

  • Organization
  • Nurse Practitioner

About COASTAL HEADACHE CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Coastal Headache Clinic Pllc, a provider established in Jacksonville, North Carolina operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1760139323 assigned on March 2022. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Coastal Headache Clinic Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Terra Kamp Fnp (President)

NPI
1760139323 Verify this NPI
Provider Name
COASTAL HEADACHE CLINIC PLLC
Entity Type
Organization
Location Address
1715 COUNTRY CLUB RD STE B JACKSONVILLE, NC 28546
Location Phone
(910) 238-2050
Mailing Address
1715 COUNTRY CLUB RD STE B JACKSONVILLE, NC 28546
Mailing Phone
(910) 238-2050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2022
Last Update Date
09-17-2022
Code Navigator

A nurse practitioner (NP) like Coastal Headache Clinic Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRA KAMP FNP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(614) 571-4245

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthotic Fitter
1715 COUNTRY CLUB RD STE B
JACKSONVILLE, NC 28546
Nurse Practitioner
1715 COUNTRY CLUB RD STE B
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
1715 COUNTRY CLUB RD STE B
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760139323, enumerated as an "organization" on March 03, 2022.

The provider is located at 1715 COUNTRY CLUB RD STE B JACKSONVILLE, NC 28546 and the phone number is (910) 238-2050.

Nurse Practitioner with taxonomy code 363L00000X.