Individual provider · Type 1 NPI

Jeffrey Lynn Vanderburg, NP

Nurse Practitioner · Kernersville, NC

NPI number 1487117461 Active

Practice location

291 Broad St
Kernersville, NC 27284-2932

Fax (336) 996-9539

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5012759 (NC)
Registered Nurse 163W00000X171504 (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 1487117461

Jeffrey Lynn Vanderburg, NP's National Provider Identifier is 1487117461, issued on Apr 8, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kernersville, NC. The record was last updated on Oct 26, 2020.