Individual provider · Type 1 NPI
Nickey Lashae Dimery, FNP-C
Family Nurse Practitioner · Lumberton, NC
NPI number
1407455363
Active
Practice location
4984 US Highway 74 W
Lumberton, NC 28360-5689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 261373 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5013835 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407455363
Nickey Lashae Dimery, FNP-C's National Provider Identifier is 1407455363, issued on Oct 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lumberton, NC. The record was last updated on Dec 10, 2020.