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Mrs. Ivy Geralyn De Leon, PMHNP-BC,FNP-C
Nurse Practitioner in Mooresville, North Carolina
NPI 1871726679

Ivy Geralyn De Leon is a Nurse Practitioner based in Mooresville, NC. Ivy Geralyn De Leon practices in Mooresville, NC and has the professional credentials of PMHNP-BC,FNP-C. The NPI Number for Ivy Geralyn De Leon is 1871726679 and holds a License No. 182897 (North Carolina).

The current practice location address for Ivy Geralyn De Leon is 378 Williamson Rd Ste 204, Mooresville, NC and can be reached out via phone at 704-978-8334 and via fax at 980-399-2600.

Location: 378 Williamson Rd Ste 204, Mooresville, NC, 28117-6702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871726679
Provider Name
Ivy Geralyn De Leon
Credential
PMHNP-BC,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
378 Williamson Rd Ste 204, Mooresville, NC, 28117-6702
Phone Number
704-978-8334
Fax Number
980-399-2600
Provider Enumeration Date
08/26/2009
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7000658 05 NC
2594567D 01 NC MEDICARE PTAN, INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
378 Williamson Rd Ste 204
City
Mooresville
State
North Carolina
Zip
28117-5917
Phone Number
704-978-8334
Fax Number
980-399-2600
person
Provider Business Mailing Address Details
Address
378 Williamson Rd Ste 204
City
Mooresville
State
North Carolina
Zip
28117-5917
Phone Number
704-978-8334
Fax Number
980-399-2600
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5004501 (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.
182897 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
182897 (North Carolina)
Definition
Definition to come...
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