| Heather Norene Thornburg, NP | |
|
1919 W Park Dr, N Wilkesboro, NC 28659-3564 | |
| (336) 651-2980 | |
| (336) 667-2047 |
| Full Name | Heather Norene Thornburg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1919 W Park Dr, N Wilkesboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467854463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 177555 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5007167 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes Regional Medical Center | North wilkesboro, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Wilkes Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245496413 PECOS PAC ID: 0648348177 Enrollment ID: O20081009000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Norene Thornburg, NP Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 651-2980 | Heather Norene Thornburg, NP 1919 W Park Dr, N Wilkesboro, NC 28659-3564 Ph: (336) 651-2980 |
Sarah Johnson Huffman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1925 W Park Dr, N Wilkesboro, NC 28659 Phone: 336-903-0147 |