KENNITRISH NICKOLA BRACEY (NPI# 1295334647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295334647 |
| Entity Type | Individual |
| Full Name | KENNITRISH NICKOLA BRACEY |
| Credential | DNP, APRN, AGNP-C |
| Practice Address |
5124 Red Poll Dr Greensboro NC 27405-9794 |
| Practice Telephone | 3364560429 |
| Mailing Telephone | 3364560429 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
226538 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5124 RED POLL DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| 1356685655 | Cindy Kate Forrester | Nurse Practitioner | 413 Aberdeen Ter, Greensboro, NC 27403-1818 | 2012-11-27 |
| 1750572202 | Jo A Deans | Nurse Practitioner | 3710 High Point Rd, Greensboro, NC 27407-4646 | 2007-08-08 |
| 1821605783 | Wendy O Elliott | Nurse Practitioner | 213 E Bessemer Ave, Greensboro, NC 27401-6324 | 2020-09-25 |
| 1023664026 | Kathryn Mckelvey Smith | Nurse Practitioner | 2500 Summit Ave, Greensboro, NC 27405-4522 | 2019-08-15 |
| 1780246165 | Hannah Marie Mills | Nurse Practitioner | 1309 N Elm St, Greensboro, NC 27401-1005 | 2019-07-05 |
| 1306300553 | Jessica N Williams | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2019-01-22 |
| 1366948556 | Lindsay Lee | Nurse Practitioner | 2703 Henry St, Greensboro, NC 27405-3669 | 2018-04-05 |
| 1336507714 | Teresa Monroe Synowiez | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2016-02-01 |
| 1811367899 | Rita Harbison Brown | Nurse Practitioner | 309 New St, Greensboro, NC 27405-3654 | 2015-10-02 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on KENNITRISH NICKOLA BRACEY.
| 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.