Individual provider · Type 1 NPI

Devora Renee Neely, MSW, P-LCSW

Nurse Practitioner · Winston Salem, NC

NPI number 1750557872 Active

Practice location

175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951

Call (336) 718-3550 Map

Fax (336) 277-1825

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 128 N Merritt Ave, Salisbury, NC 28144-2636 · (704) 296-4640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP004420 (NC)
Nurse Practitioner Primary 363L00000X5018075 (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 1750557872

Devora Renee Neely, MSW, P-LCSW's National Provider Identifier is 1750557872, issued on May 8, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 25, 2023.