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Kanitra Shavon Clyburn, NP
Nurse Practitioner in Charlotte, North Carolina
NPI 1497131031

Kanitra Shavon Clyburn is a Nurse Practitioner based in Charlotte, NC. Kanitra Shavon Clyburn practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Kanitra Shavon Clyburn is 1497131031 and holds a License No. 5007846 (North Carolina).

The current practice location address for Kanitra Shavon Clyburn is 13640 Steelecroft Pkwy, Charlotte, NC and can be reached out via phone at 704-512-6100.

Location: 13640 Steelecroft Pkwy, Charlotte, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497131031
Provider Name
Kanitra Shavon Clyburn
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
13640 Steelecroft Pkwy, Charlotte, NC, 28219-9305
Phone Number
704-512-6100
Fax Number
Provider Enumeration Date
08/05/2015
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
13640 Steelecroft Pkwy
City
Charlotte
State
North Carolina
Zip
28278-7565
Phone Number
704-512-6100
Fax Number
person
Provider Business Mailing Address Details
Address
13640 Steelecroft Pkwy
City
Charlotte
State
North Carolina
Zip
28278-7565
Phone Number
704-512-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5007846 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
5007846 (North Carolina)
Definition
Definition to come...
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