Long, Debra Larae

Long, Debra Larae is an individual health care provider with primary practice located at 111 Gateway Center Dr , Kernersville NC 27284-2999. 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. Long, Debra Larae can be contacted via phone (336) 996-2173.

Contact Information

Primary practice address
111 Gateway Center Dr Kernersville NC 27284-2999
Phone: (336) 996-2173
Fax: (336) 996-3254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 091405 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201305 North Carolina

Profile Details

NPI number 1508058728
LBN Legal business name Long, Debra Larae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2007
Last updated Jul 23rd, 2013 - about 11 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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