DEBRA LARAE LONG FNP-C
NPI 1508058728
Nurse Practitioner in Kernersville, NC

Q: What is Debra Long's NPI number?

The NPI number for Debra Long is 1508058728. It was assigned to this individual provider in the NPPES registry on August 12, 2007.

Q: What is Debra Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Debra Long was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2007

111 GATEWAY CENTER DR, KERNERSVILLE, NC 27284(336) 996-2173(336) 996-3254 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Debra Larae Long Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA LARAE LONG FNP-C (NPI 1508058728) is an individual nurse practitioner in Kernersville, North Carolina, licensed in North Carolina (201305) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1508058728

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEBRA LARAE LONGCredential: FNP-C

Location Address111 GATEWAY CENTER DRKernersville, NC 27284-2999

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 996-2173 · Fax (336) 996-3254

Phone(336) 996-2173

Fax(336) 996-3254

Sole ProprietorNo

Enumeration DateAugust 12, 2007

Last NPPES UpdateJuly 23, 2013

✔ NPI 1508058728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 201305

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 091405 (NC)

111 GATEWAY CENTER DR, Kernersville, NC 27284

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMANDA CATHERINE MADERIA DNP, FNP-C

Nurse Practitioner