Individual
MRS. DEBRA LYNN KNUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
855 BRADLEY ST, STE. A, CONCORD, NC 28025-2979
(704) 721-0535
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004307
NC
363LF0000X
Family Nurse Practitioner
5004307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679610844
—
NC
Enumeration date
01/30/2007
Last updated
08/13/2015
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