Adrienne Yolanda Small, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200950 Issued in NC

Practice address

4104 Surles CT
Suite 11
Durham, NC 27703-8056

Phone

(919) 941-1911

Fax

(919) 941-1901

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Adrienne Yolanda Fullard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1083695118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BLUEBIRD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138139",
            "telephone_number": "919-403-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 SURLES CT",
            "address_2": "SUITE 11",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038056",
            "telephone_number": "919-941-1911",
            "fax_number": "919-941-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ADRIENNE",
        "middle_name": "YOLANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "FULLARD",
            "middle_name": "YOLANDA",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Griffin Sloop, LCSW
• Matthew Bremer Slotkin
• Luke Martin Slotterback, PHARMD
• Slower Medicine, PLLC
• May Kuo Slowik, MD
• Kemar Norman Small, MD
• Keri Small
• Kyra Small
• Maria J Small, MD
• Marlon Smallwood, LCSW-A

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.