NOVANT HEALTH NPI 1275023384

NPI Information

  • NPI: 1275023384
  • Provider Name: NOVANT HEALTH
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: NOVANT HEALTH URGENT CARE & OCCUPATIONAL MEDICINE- KERNERSVILLE
  • CLIA Number: 34D2257742
  • Address: 111 GATEWAY CENTER DR
    KERNERSVILLE, NC
    ZIP 27284
  • Phone: (336) 996-2173

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NPI Details

NOVANT HEALTH is a primary care nurse practitioner in Kernersville, NC. NOVANT HEALTH NPI is 1275023384. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Novant Health Urgent Care & Occupational Medicine- Kernersville.

The provider's business location address is:

111 GATEWAY CENTER DR
KERNERSVILLE, NC
ZIP 27284-999
Phone: (336) 996-2173

The provider's authorized official is Jeremy Hutson .
The authorized official title is Supervising Physician and has the following contact phone number (336) 996-2173.

The CLIA number assigned to this NPI record is 34D2257742 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareNORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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