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Lifesource Of North Carolina
Nurse Practitioner in South Bend, Indiana
NPI 1295311595

Lifesource Of North Carolina is a Nurse Practitioner based in Atlanta, IN. Lifesource Of North Carolina practices in South Bend, IN. The NPI Number for Lifesource Of North Carolina is 1295311595 and holds a License No. (Indiana).

The current practice location address for Lifesource Of North Carolina is 4600 W Washington St, South Bend, IN and can be reached out via phone at 910-742-9243 and via fax at 888-746-1787. You can also correspond with Lifesource Of North Carolina through the mailing address at PO BOX 538622, ATLANTA, GA - 30353-8622 (mailing address contact number: 910-742-9243).

Location: 4600 W Washington St, South Bend, IN, 30353-8622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295311595
Provider Name
Lifesource Of North Carolina
Credential
Provider Entity Type
Organization
Address
4600 W Washington St, South Bend, IN, 30353-8622
Phone Number
910-742-9243
Fax Number
888-746-1787
Provider Enumeration Date
03/18/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4600 W Washington St
City
South Bend
State
Indiana
Zip
46619-2320
Phone Number
910-742-9243
Fax Number
888-746-1787
person
Provider Business Mailing Address Details
Address
4600 W Washington St
City
South Bend
State
Indiana
Zip
46619-2320
Phone Number
910-742-9243
Fax Number
888-746-1787
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
()
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(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.
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