Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LILLYKUTTY ABRAHAM MODOOR, NURSE PRACTITIONER
ActiveLILLYKUTTY ABRAHAM MODOOR, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WINSTON SALEM, North Carolina. NPI 1013155969 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1013155969
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2009 (17.496619478307 yrs)
- Last Updated
- Feb 6, 2023
- Licenses
-
5004280 (NC)5004280 (NC)5004280 (NC)
Practice Information
- Address
-
650 HIGHLAND AVE STE 100WINSTON SALEM, NC, 271014304Browse NC providers · Browse ZIP 27101
- Phone
- 3366078523
- Fax
- 3367730916
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| VICTORIA MARIE SOLTIS-JARRETT | NP | 1851454649 |
| REBECCA WITTEN JONES | PHD, PMHNP-BC | 1477848729 |
| CAROLYN D ORR | NP | 1639436124 |
| MARJORIE G SALES | RN MSN PMHNP-BC | 1437498326 |
| ALISHA CARTER | — | 1518396084 |
| LAURA DAVIS | NP-C | 1770908337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.