Bracey, Kennitrish Nickola

Bracey, Kennitrish Nickola is an individual health care provider with primary practice located at 1131 N Church St , Greensboro NC 27401-1015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bracey, Kennitrish Nickola can be contacted via phone (972) 881-4688.

Contact Information

Primary practice address
1131 N Church St Greensboro NC 27401-1015
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5014047 North Carolina

Profile Details

NPI number 1295334647
LBN Legal business name Bracey, Kennitrish Nickola
Credentials DNP, APRN, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2020
Last updated Dec 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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