Individual provider · Type 1 NPI

Ennie Austin

Nurse Practitioner · Winston Salem, NC

NPI number 1881248029 Active

Practice location

186 Kimel Park Dr
Winston Salem, NC 27103-6946

Fax (336) 277-2050

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5011958 (NC)
Nurse Practitioner Primary 363L00000X5011958 (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 1881248029

Ennie Austin's National Provider Identifier is 1881248029, issued on Jul 26, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 26, 2020.