Tiffany Nechelle Lucas, FNP
Nurse Practitioner, Family in Greensboro, NC. Individual provider (NPI-1).
NPI number1982203733
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1982203733
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Nechelle Lucas
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2020
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5013713 | NC | Yes |
Practice location
1100 E Wendover AveGreensboro, NC 27405-6713
Phone 336-641-6713
Mailing address
1100 E Wendover AveGreensboro, NC 27405-6713
Phone 336-641-6713
Other practice locations
300 E Wendover Ave
Greensboro, NC 27401-1229
Greensboro, NC 27401-1229
Phone 336-890-3822 · Fax 336-663-5367
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