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Ms. Lucinda Kelley Backus, OGNP
Nurse Practitioner in Winston Salem, North Carolina
NPI 1922298330

Lucinda Kelley Backus is a Nurse Practitioner based in Charlotte, NC. Lucinda Kelley Backus practices in Winston Salem, NC and has the professional credentials of OGNP. The NPI Number for Lucinda Kelley Backus is 1922298330 and holds a License No. 800114 (North Carolina).

The current practice location address for Lucinda Kelley Backus is 114 Charlois Blvd, Winston Salem, NC and can be reached out via phone at 336-765-5470 and via fax at 336-499-5428. You can also correspond with Lucinda Kelley Backus through the mailing address at PO BOX 60447, CHARLOTTE, NC - 28260-0447 (mailing address contact number: 336-765-5470).

Location: 114 Charlois Blvd, Winston Salem, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922298330
Provider Name
Lucinda Kelley Backus
Credential
OGNP
Provider Entity Type
Individual
Gender
Female
Address
114 Charlois Blvd, Winston Salem, NC, 28260-0447
Phone Number
336-765-5470
Fax Number
336-499-5428
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7005670 05 NC
institution
Provider Business Practice Location Address Details
Address
114 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1522
Phone Number
336-765-5470
Fax Number
336-499-5428
person
Provider Business Mailing Address Details
Address
114 Charlois Blvd
City
Winston Salem
State
North Carolina
Zip
27103-1522
Phone Number
336-765-5470
Fax Number
336-499-5428
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
800114 (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
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
800114 (North Carolina)
Definition
Definition to come...
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