Myers, Deborah Jo

Myers, Deborah Jo is an individual health care provider with primary practice located at 550 Glenwood Dr , Mooresville NC 28115-2876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Myers, Deborah Jo can be contacted via phone (704) 664-7494.

Contact Information

Primary practice address
550 Glenwood Dr Mooresville NC 28115-2876
Fax: (704) 664-9642
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0050-03875 North Carolina

Profile Details

NPI number 1477737567
LBN Legal business name Myers, Deborah Jo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Jul 2nd, 2012 - about 14 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 1477737567 NPPES
North Carolina MEDICAID 7003923

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