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NPI Code Detail

MEDICARE: NISYJA CARES LLP

MEDICARE: NISYJA CARES LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2261QP2300XPrimary Care Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1255223525
Entity Type Code : Organization
Provider Name (Legal Business Name) : NISYJA CARES LLP
Provider Business Mailing Address
First Line : 708 BLUE MOON CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-9349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 708 BLUE MOON CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-9349
Country : US
Telephone Number : 336-809-1039
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : NICORIAH BENNETT
Credential :
Telephone Number : 336-255-3813
Provider Enumeration Date : 07/19/2025
Last Update Date : 03/27/2026

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Directions to “NISYJA CARES LLP ” Practice Location

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