Individual provider · Type 1 NPI

Nicole Marie Long, NP

Nurse Practitioner · Washington, DC

NPI number 1679090302 Active

Practice location

50 Irving St NW
Washington, DC 20422-0001

Mailing address

4155 Weeping Willow Ct
Chantilly, VA 20151-3556

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN1025308 (DC)

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 1679090302

Nicole Marie Long, NP's National Provider Identifier is 1679090302, issued on Aug 23, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Aug 23, 2017.