Individual provider · Type 1 NPI

Athena Nicole Pickenpack-Cousar, NP

Nurse Practitioner · Greensboro, NC

NPI number 1417427188 Active

Practice location

1200 N Elm St
Greensboro, NC 27401-1004

Mailing address

PO Box 1737
Jamestown, NC 27282-1737

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5011168 (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 1417427188

Athena Nicole Pickenpack-Cousar, NP's National Provider Identifier is 1417427188, issued on Nov 26, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, NC. The record was last updated on Sep 20, 2021.