Healthcare Provider Details

I. General information

NPI: 1861091134
Provider Name (Legal Business Name): YULIA NEMTSEV APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7850 BRIER CREEK PKWY STE 100
RALEIGH NC
27617-8900
US

IV. Provider business mailing address

4705 UNIVERSITY DR BLDG 700
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 919-748-4878
  • Fax: 919-748-4876
Mailing address:
  • Phone: 919-237-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5021846
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: