Healthcare Provider Details

I. General information

NPI: 1508541764
Provider Name (Legal Business Name): A NURSE WORX HEALTHCARE & STAFFING AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 WHITE OAK ST
ASHEBORO NC
27203-5433
US

IV. Provider business mailing address

1633 NEW GARDEN RD # 1008
GREENSBORO NC
27410-2001
US

V. Phone/Fax

Practice location:
  • Phone: 919-799-3772
  • Fax:
Mailing address:
  • Phone: 919-799-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VALLERY JOHNSON
Title or Position: CEO
Credential:
Phone: 919-799-3772