Provider Demographics
NPI:1063290906
Name:DECKARD, NANCIE DENISE (FNP-BC)
Entity type:Individual
Prefix:
First Name:NANCIE
Middle Name:DENISE
Last Name:DECKARD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:NANCIE
Other - Middle Name:DENISE
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4068 REUNION POINTE LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-8445
Mailing Address - Country:US
Mailing Address - Phone:919-452-7978
Mailing Address - Fax:
Practice Address - Street 1:203 NORTH ST
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515-0010
Practice Address - Country:US
Practice Address - Phone:252-745-5111
Practice Address - Fax:252-249-5900
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily