Individual provider · Type 1 NPI

Debra Larae Long, FNP-C

Nurse Practitioner · Kernersville, NC

NPI number 1508058728 Active

Practice location

111 Gateway Center Dr
Kernersville, NC 27284-2999

Call (336) 996-2173 Map

Fax (336) 996-3254

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X091405 (NC)
Nurse Practitioner Primary 363L00000X201305 (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 1508058728

Debra Larae Long, FNP-C's National Provider Identifier is 1508058728, issued on Aug 12, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kernersville, NC. The record was last updated on Jul 23, 2013.