COASTAL HEADACHE CLINIC PLLC 1760139323

Name: COASTAL HEADACHE CLINIC PLLC Specialty: Nurse Practitioner Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:

Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: . Definition of Specialty: (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.

License #(s): , , , , License State(s): , , , ,

Practice Location: COASTAL HEADACHE CLINIC PLLC,1715 COUNTRY CLUB RD STE B,JACKSONVILLE,NC,285466042,US Mailing Address: COASTAL HEADACHE CLINIC PLLC,1715 COUNTRY CLUB RD STE B,JACKSONVILLE,NC,285466042,US

Practice location phone #: 9102382050 Practice location fax #: Mailing address Phone #: 9102382050 Mailing Address fax #: Authorized official Name/Telephone #:TERRA, KAMP, FNP, PRESIDENT 6145714245

Date NPI was obtained: 03/03/2022 Last data data was updated: 03/04/2022 Insurances: