Individual provider · Type 1 NPI
Nicole Rose Long, APRN, AGNP-C
Nurse Practitioner · Raleigh, NC
Practice location
3480 Wake Forest Rd Ste 204
Raleigh, NC 27609-7376
Fax (919) 862-5605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5022175 (NC) |
Nurse Practitioner: (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 wit…
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About NPI 1124839337
Nicole Rose Long, APRN, AGNP-C's National Provider Identifier is 1124839337, issued on Jan 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 16, 2026.