Individual provider · Type 1 NPI

Kanitra Shavon Clyburn, NP

Nurse Practitioner · Charlotte, NC

NPI number 1497131031 Active

Practice location

13640 Steelecroft Pkwy, Ste 210
Charlotte, NC 28278-7565

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-1422
  • 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 · (704) 367-7400
  • 6235 Blakeney Park Dr, Ste 100, Charlotte, NC 28277-5658 · (704) 512-5060
  • 332 N Trade St, Ste 1500, Matthews, NC 28105-1728 · (704) 512-6820

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X5007846 (NC)
Nurse Practitioner Primary 363L00000X5007846 (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 1497131031

Kanitra Shavon Clyburn, NP's National Provider Identifier is 1497131031, issued on Aug 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.