Knuckles, Debra Lynn

Knuckles, Debra Lynn is an individual health care provider with primary practice located at 855 Bradley St Ste. A, Concord NC 28025-2979. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Knuckles, Debra Lynn can be contacted via phone (704) 721-0535.

Contact Information

Primary practice address
855 Bradley St Ste. A Concord NC 28025-2979
Phone: (704) 721-0535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004307 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004307 North Carolina

Profile Details

NPI number 1679610844
LBN Legal business name Knuckles, Debra Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 13th, 2015 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1679610844 NPPES
North Carolina MEDICAID 1679610844

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