IndividualActive
Darrell Dedeaux, NP-C
NPI 1023556461 · Primary Care Nurse Practitioner · Fayetteville, NC
Provider details
- NPI number
- 1023556461
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5009303 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
103 Country Club Dr
Fayetteville, NC 28301-7603
Phone: (910) 400-7002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746724
Atlanta, GA 30374-6724
Additional practice locations (2)
- 129 T.t. Lanier StreetBuies Creek, NC 27506Phone: (910) 893-1562Fax: (910) 814-5727
- 380 Knollwood St # 505Winston Salem, NC 27103-1884Phone: (833) 357-2966
Registry dates
- Enumerated
- 2017-02-06
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.