JANEL REBECCA DURHAM


Address: 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107
Phone: 3367690246

JANEL REBECCA DURHAM (NPI# 1154816312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154816312
Entity Type Individual
Full Name JANEL REBECCA DURHAM
Credential FNP-C
Practice Address 10479 N Nc Highway 109 Ste 107a
Winston Salem
NC 27107
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 3367690246
Enumeration Date 2018-06-28
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5010644 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10479 N NC HIGHWAY 109 STE 107A
City WINSTON SALEM
State NC
Zip Code 27107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518224617 Daniel Lewis Myers Family Medicine 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107-9884 2012-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154934727 Sreto Duric Physical Therapy Assistant 3863 Robbins Brook Dr, Winston Salem, NC 27107 2020-08-24
1164936852 Lindsay Webster Physician Assistant 10479 Nc-109, 107a, Winston Salem, NC 27107 2017-11-17
1447592209 Vinson Psychological Services, Pllc Psychologist 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 2013-03-20
1629212501 Benicia Elaine Cleveland Specialist/Technologist 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 2009-04-23
1083714364 Lia Simpson Erickson Pediatrics 648 East Monmouth Street, Winston Salem, NC 27107 2006-09-25
1336242973 North Carolina Cvs Pharmacy LLC Pharmacy 10478 N Nc Hwy 109, Wallburg, NC 27107 2006-09-07
1861929523 Southside United Health Centers Social Worker 3009 Waughtown St, Winston Salem, NC 27107 2017-05-12
1407011398 Ashley Rose Hill Nurse Practitioner 648 East Monmouth Street, Winston Salem, NC 27107 2008-07-21
1518157247 Ellen R. Robinson Pediatrics 648 East Monmouth Street, Winston Salem, NC 27107 2007-07-30
1497049266 Crse Advanced Placement Homes, Inc. Community/Behavioral Health 2019 Milford St, Winston Salem, NC 27107-1332 2011-06-08
Find all providers in zip 27107

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316567175 Fenny Apondi Okello Nurse Practitioner 4254 Paula Dr, Winston Salem, NC 27127-6820 2020-04-22
1659917615 Mh Medical Services, PC Nurse Practitioner 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 2019-11-25
1053957118 Mh Medical Services, PC Nurse Practitioner 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 2019-11-25
1548756547 Tracy Gaffney Nurse Practitioner 4134 Macarthur St, Winston Salem, NC 27107-6124 2018-07-03
1568958692 Heather Triplett Nurse Practitioner Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 2018-07-01
1619498987 Yolanda Enrich Nurse Practitioner 652 E Monmouth St, Winston Salem, NC 27107-3227 2017-06-27
1316483738 Julie Shaun Kozel Nurse Practitioner 656 E Monmouth St, Winston Salem, NC 27107-3227 2017-01-09
1578923199 Denise B Westendorf Nurse Practitioner 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 2016-02-24
1568890705 Lourdes C Ramos Nurse Practitioner 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 2013-10-25
1063735504 Meredith Renae Clark Nurse Practitioner 605 Cotton St, Winston Salem, NC 27101-5080 2010-03-11
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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