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General NPI Number Information
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NPI Number | 1457044257
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Entity Type | Individual
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Provider Name | KIERA RU'SHELLE SLADE FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 8838 US 70 HWY BUSINESS W
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City | CLAYTON
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State | NC
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Zip | 27520
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Country | US
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Telephone | 919-870-8409
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E SIX FORKS RD UNIT 522
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City | RALEIGH
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State | NC
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Zip | 27604-1843
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Country | US
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Telephone | 336-514-3587
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F05231126
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5018168
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License Number State | NC
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