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Daniel James Lackey, NP
Nurse Practitioner in Winston Salem, North Carolina
NPI 1548755432

Daniel James Lackey is a Nurse Practitioner based in Sylva, NC. Daniel James Lackey practices in Winston Salem, NC and has the professional credentials of NP. The NPI Number for Daniel James Lackey is 1548755432 and holds a License No. 5010621 (North Carolina).

The current practice location address for Daniel James Lackey is 1287 Creekshire Way, Winston Salem, NC and can be reached out via phone at 336-245-9521 and via fax at 855-308-2340.

Location: 1287 Creekshire Way, Winston Salem, NC, 28779-0360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548755432
Provider Name
Daniel James Lackey
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1287 Creekshire Way, Winston Salem, NC, 28779-0360
Phone Number
336-245-9521
Fax Number
855-308-2340
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q00092508 01 NC RAILROAD MEDICARE
1548755432 05 NC
19YVP 01 NC BCBS NC
NNG668A 01 NC MEDICARE
institution
Provider Business Practice Location Address Details
Address
1287 Creekshire Way
City
Winston Salem
State
North Carolina
Zip
27103-3057
Phone Number
336-245-9521
Fax Number
855-308-2340
person
Provider Business Mailing Address Details
Address
1287 Creekshire Way
City
Winston Salem
State
North Carolina
Zip
27103-3057
Phone Number
336-245-9521
Fax Number
855-308-2340
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5010621 (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.
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