Healthcare Provider Details

I. General information

NPI: 1447084520
Provider Name (Legal Business Name): NU VISIONS HEALTH & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 MONROE RD STE 101
CHARLOTTE NC
28205-7533
US

IV. Provider business mailing address

3010 MONROE RD STE 101
CHARLOTTE NC
28205-7533
US

V. Phone/Fax

Practice location:
  • Phone: 704-387-0182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TASHLYN THOMAS-RHODES
Title or Position: MEMBER
Credential: DNP, APRN, FNP,PMHNP
Phone: 704-387-0182