MRS. YOLANDA MCCLAM NICHOLSON


Address: 112 N Benbow Road, Greensboro, NC 27411-7299
Phone: 3362852906

MRS. YOLANDA MCCLAM NICHOLSON (NPI# 1609185255) 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) 1609185255
Entity Type Individual
Full Name MRS. YOLANDA MCCLAM NICHOLSON
Other Name YOLANDA RENEE MCCLAM
Credential FNP-C
Practice Address 112 N Benbow Road
Greensboro
NC 27411-7299
Mailing Address 1701 Westchester Dr
Ste. 850
High Point
NC 27262-7008
Practice Telephone 3362852906
Practice Fax Number 3362562613
Mailing Telephone 3368022400
Mailing Fax Number 3368022534
Enumeration Date 2010-09-30
Last Update Date 2019-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5004898 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC PTAN MEDICARE 2595054 01

Office Location

Street Address 112 N BENBOW ROAD
City GREENSBORO
State NC
Zip Code 27411-7299

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346884731 Niakesha Frazier Registered Nurse 112 N Benbow Road, Greensboro, NC 27411 2019-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659674927 Vivian Barnette Psychologist 109 Murphy Hall, Greensboro, NC 27411 2010-12-08
1720120637 North Carolina A&t State University Clinic/Center 112 N. Benbow Road, Greensboro, NC 27411 2007-02-14
1902313208 Makrizzel Galvez Specialist/Technologist 1601 E Market Street Bryan Fitness and Wellness Center, Greensboro, NC 27411-0001 2018-01-08
1114234903 North Carolina A T State University Pharmacy 112. N. Benbow Road, Greensboro, NC 27411-0001 2010-09-01
1033247200 Charles Edward Lownes Sr. Student in an Organized Health Care Education/Training Program 1601 E Market St, Ncat Student Health Center, Greensboro, NC 27411-0001 2007-03-01
1023595014 Ashleigh Shambley Dragnev Nurse Practitioner 112 N Benbow Rd, Greensboro, NC 27411-0001 2018-07-23
1295226199 Abla Djigbodi Afatsawo Nurse Practitioner 112 N Benbow Rd, Greensboro, NC 27411-0001 2018-05-25
1811398498 Michael Teal Pharmacist 112 N Benbow Rd, Greensboro, NC 27411-0001 2014-09-15
1144629833 North Carolina A&t State University Clinic/Center 112 N Benbow Rd, Greensboro, NC 27411-0002 2014-08-19
1689136996 Linnea Dafne Katsarou Specialist/Technologist 1601 E Market St, Greensboro, NC 27411-0002 2019-04-04
Find all providers in zip 27411

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
1235789793 Sarah Clegg Slack Nurse Practitioner 912 3rd St # 101, Greensboro, NC 27405-6967 2019-09-17
1881243558 Kathryn Strup Nurse Practitioner 1317 N Elm St Ste 7, Greensboro, NC 27401-1023 2019-09-05
1174989792 Elysa C. Graham Nurse Practitioner 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 2016-01-12
1588033195 Maria S. Gaddy Nurse Practitioner 1000 Cowles Clinc Way Ste M-200, Greensboro, GA 30642-4541 2015-09-24
1689042038 Caroline Tedder Hacker Nurse Practitioner 300 E Wendover Ave, Suite 400, Greensboro, NC 27401-1229 2015-09-02
1659700177 Jerry Keith Edwards Nurse Practitioner 501 Hickory Branch Rd, Greensboro, NC 27409-9601 2013-11-05
1740594357 Karen M Black Nurse Practitioner 1200 N Elm St Ste 3509, Greensboro, NC 27401-1004 2010-08-06
1235397738 Russell Lee Welch Nurse Practitioner 510 N.elam Ave, Ste 302, Greensboro, NC 27403 2008-05-30
1174614259 Vrinda Villa Pickering Nurse Practitioner 1200 North Elm Street, Greensboro, NC 27401-1004 2006-09-27
1992743991 Kelly Adair Virgil Nurse Practitioner 3713 Richfield Rd, Greensboro, NC 27410-2111 2006-06-02
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27411

Improve Information

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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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