Premier Nursecare Solutions

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

210120 Issued in NC

Legal business name

PREMIER NURSECARE SOLUTIONS

Practice address

4922 Windy Hill Dr
Suite a
Raleigh, NC 27609-5195

Phone

(919) 389-1891

Fax

(800) 747-6905

NPI assigned

Dec 24, 2014

Organization subpart

No

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

Authorized official

Name

Latrina Colleen Jackson, RN-BSN

Title

Ceo

Phone

(919) 389-1891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1962890046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 WINDY HILL DR",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095195",
            "telephone_number": "919-389-1891",
            "fax_number": "800-747-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 WINDY HILL DR",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095195",
            "telephone_number": "919-389-1891",
            "fax_number": "800-747-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NURSECARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-389-1891",
        "authorized_official_credential": "RN-BSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "210120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.