Provider Demographics
NPI:1295627131
Name:FAIRCHILD, ADDISON BRINKLEY (FNP-C)
Entity type:Individual
Prefix:MS
First Name:ADDISON
Middle Name:BRINKLEY
Last Name:FAIRCHILD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 BLUEHILL FARM ROAD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640
Mailing Address - Country:US
Mailing Address - Phone:828-964-6379
Mailing Address - Fax:
Practice Address - Street 1:125 COLVARD FARM RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9151
Practice Address - Country:US
Practice Address - Phone:828-964-6379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022540207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine