SHENITA ADAMS DEBERRY AGPCNP NPI 1861014615

NPI Information

NPI: 1861014615
Provider Name: SHENITA ADAMS DEBERRY, AGPCNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1601 BRENNER AVE
SALISBURY, NC
ZIP 28144
Phone: (704) 638-9000
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Shenita Adams Deberry, AGPCNP is an adult health nurse practitioner in Salisbury, NC. Shenita Adams Deberry, AGPCNP NPI is 1861014615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1601 BRENNER AVE
SALISBURY, NC
ZIP 28144-515
Phone: (704) 638-9000

The NPI 1861014615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2020 and was last updated on 5/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	5013147	NORTH CAROLINA	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	5013147	NORTH CAROLINA	No
3	363LP2300X	Nurse Practitioner	Primary Care	5013147	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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