Basic Information
Provider Information
NPI: 1376018333
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEST
FirstName: KANDACE
MiddleName: BURROUGHS
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 PERIMETER PARK DR STE 200
Address2:  
City: MORRISVILLE
State: NC
PostalCode: 275608442
CountryCode: US
TelephoneNumber: 9842154110
FaxNumber:  
Practice Location
Address1: 2811 MCLAMB PL
Address2:  
City: GOLDSBORO
State: NC
PostalCode: 275341647
CountryCode: US
TelephoneNumber: 9197311141
FaxNumber: 9197343509
Other Information
ProviderEnumerationDate: 10/05/2018
LastUpdateDate: 05/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X200300412NCY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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