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Debra Larae Long, FNP-C
Nurse Practitioner in Kernersville, North Carolina
NPI 1508058728

Debra Larae Long is a Nurse Practitioner based in Charlotte, NC. Debra Larae Long practices in Kernersville, NC and has the professional credentials of FNP-C. The NPI Number for Debra Larae Long is 1508058728 and holds a License No. 091405 (North Carolina).

The current practice location address for Debra Larae Long is 111 Gateway Center Dr, Kernersville, NC and can be reached out via phone at 336-996-2173 and via fax at 336-996-3254.

Location: 111 Gateway Center Dr, Kernersville, NC, 28275-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508058728
Provider Name
Debra Larae Long
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
111 Gateway Center Dr, Kernersville, NC, 28275-1803
Phone Number
336-996-2173
Fax Number
336-996-3254
Provider Enumeration Date
08/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Gateway Center Dr
City
Kernersville
State
North Carolina
Zip
27284-2999
Phone Number
336-996-2173
Fax Number
336-996-3254
person
Provider Business Mailing Address Details
Address
111 Gateway Center Dr
City
Kernersville
State
North Carolina
Zip
27284-2999
Phone Number
336-996-2173
Fax Number
336-996-3254
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
201305 (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
Family
Taxonomy
363LF0000X
License No.
091405 (North Carolina)
Definition
Definition to come...
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