Individual provider · Type 1 NPI

Jonathan Douglas Lyday, AGPCNP

Nurse Practitioner · Elkin, NC

NPI number 1487100491 Active

Practice location

189 Samaritans Ridge Rd
Elkin, NC 28621-2472

Fax (336) 526-3011

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • Medical Center Blvd, Winston Salem, NC 27157-3564 · (336) 716-2255
  • 1909 W Park Dr, North Wilkesboro, NC 28659-3564 · (336) 526-0132

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X5009435 (NC)
Nurse Practitioner 363L00000XRN224686 (GA)
Nurse Practitioner Primary 363L00000X5009435 (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…

7 other providers at this address

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About NPI 1487100491

Jonathan Douglas Lyday, AGPCNP's National Provider Identifier is 1487100491, issued on Aug 30, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elkin, NC. The record was last updated on Aug 7, 2024.