Provider Demographics
NPI:1629740659
Name:DEPENDABLE NURSES OF NC INC
Entity Type:Organization
Organization Name:DEPENDABLE NURSES OF NC INC
Other - Org Name:DEPENDABLE NURSES OF NC INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:704-301-6353
Mailing Address - Street 1:14130 SHAW DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-0625
Mailing Address - Country:US
Mailing Address - Phone:704-301-6353
Mailing Address - Fax:
Practice Address - Street 1:14130 SHAW DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-0625
Practice Address - Country:US
Practice Address - Phone:704-301-6353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251J00000XAgenciesNursing Care