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Individual

NIAKESHA FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, FNP-C

Contact information

Practice address
112 N BENBOW ROAD, GREENSBORO, NC 27411
(336) 624-5406
Mailing address
112 N BENBOW ROAD, GREENSBORO, NC 27411-1564

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193403
NC
363L00000X
Nurse Practitioner
5012486
NC
363LF0000X
Family Nurse Practitioner
Primary
5012486
NC

Other

Enumeration date
10/29/2019
Last updated
02/05/2026
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