Individual provider · Type 1 NPI

Poonam Kushwaha

Nurse Practitioner · Greensboro, NC

NPI number 1477398477 Active

Practice location

1007 Walker Ave
Greensboro, NC 27403

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X321554 (NC)
Nurse Practitioner Primary 363L00000X5022772 (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 1477398477

Poonam Kushwaha's National Provider Identifier is 1477398477, issued on Jul 1, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, NC. The record was last updated on Nov 20, 2025.