Lowery, Vivian Jill

Lowery, Vivian Jill is an individual health care provider with primary practice located at 2511 Old Cornwallis Rd Ste 200 , Durham NC 27713. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lowery, Vivian Jill can be contacted via phone (844) 932-5700.

Contact Information

Primary practice address
2511 Old Cornwallis Rd Ste 200 Durham NC 27713
Phone: (844) 932-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5000964 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4181 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5000964 North Carolina

Profile Details

NPI number 1134111057
LBN Legal business name Lowery, Vivian Jill
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Nov 15th, 2019 - about 5 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 1134111057 NPPES
North Carolina MEDICAID 6113007

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