Provider Demographics
NPI:1265172191
Name:LUKASIK, JOANA (FNP-C)
Entity type:Individual
Prefix:
First Name:JOANA
Middle Name:
Last Name:LUKASIK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JOANA
Other - Middle Name:SOFIA WYSZYNSKI
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1202 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7307
Mailing Address - Country:US
Mailing Address - Phone:910-341-1540
Mailing Address - Fax:910-431-4048
Practice Address - Street 1:4141 SHIPYARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6156
Practice Address - Country:US
Practice Address - Phone:910-792-9925
Practice Address - Fax:910-792-9926
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF01220957363LF0000X
NC5015917363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily