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ELIZABETH MARLO MCCULLEN FANN
NPI 1932083011
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, NC

Active since August 02, 2025
192 VILLAGE DR, JACKSONVILLE, NC 28546(910) 577-1400 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Marlo Mccullen Fann NPPES

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

ELIZABETH MARLO MCCULLEN FANN (NPI 1932083011) is an individual psychiatric/mental health provider in Jacksonville, North Carolina, licensed in North Carolina (5022764) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1932083011
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH MARLO MCCULLEN FANN
Location Address192 VILLAGE DRJacksonville, NC 28546-7238
Mailing Address595 Hinson RdDunn, NC 28334-9583 · (910) 990-0410
Phone(910) 577-1400
Sole ProprietorNo
Enumeration DateAugust 2, 2025
Last NPPES UpdateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1932083011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5022764
192 VILLAGE DR, Jacksonville, NC 28546
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Other Names 1

Former Name (1)Elizabeth Marlo Mccullen

Other Providers at the Same Location NPPES 11

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

BRYNN MARR HOSPITAL, INC
Psychiatric Residential Treatment Facility
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
BRITTNEY MALYNN BOWMAN PMH-DNP
Nurse Practitioner (Psychiatric/Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
CYNTHIA JO WAUN LPC
Counselor (Professional)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
TONYA LEBLANC MSW, LCSWA
Social Worker (Clinical)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-2716
DRIYANNA LYNCH BSN, RN
Registered Nurse (Psychiatric/Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
DR. KENNETH RAY SLADKIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
BRYNN MARR HOSPITAL INC
Psychiatry & Neurology (Psychiatry)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400
EMILY CHARLOTTE GABRIELLE WAUN NCC, LCMHCA
Counselor (Mental Health)
192 VILLAGE DR
JACKSONVILLE, NC 28546
Onslow County (910) 577-1400

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 Elizabeth Fann's NPI number?

The NPI number for Elizabeth Fann is 1932083011. It was assigned to this individual provider in the NPPES registry on August 2, 2025. The provider is also known as Elizabeth Marlo Mccullen.

Where is Elizabeth Fann located?

Elizabeth Fann practices at 192 Village Dr, Jacksonville, NC 28546. The listed phone number is (910) 577-1400.

What is Elizabeth Fann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Elizabeth Fann was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.