Organization · Type 2 NPI

Southside Diabetes

Nurse Practitioner · Franklin, VA

NPI number 1417616202 Active

Practice location

1337 Armory Drive
Franklin, VA 23851-2419

Fax (833) 471-5922

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center 261QM2500XNone listed
Nurse Practitioner Primary 363L00000XNone listed

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 1417616202

Southside Diabetes's National Provider Identifier is 1417616202, issued on Dec 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Franklin, VA. The record was last updated on Nov 25, 2024.