Individual provider · Type 1 NPI

Lucinda Kelley Backus, O.G.N.P.

Nurse Practitioner · Winston Salem, NC

NPI number 1922298330 Active

Practice location

114 Charlois Blvd
Winston Salem, NC 27103-1522

Fax (336) 499-5428

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner 363LX0001X800114 (NC)
Nurse Practitioner Primary 363L00000X800114 (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 1922298330

Lucinda Kelley Backus, O.G.N.P.'s National Provider Identifier is 1922298330, issued on Aug 1, 2007. 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 28, 2020.