Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Arennette Tysha Anthony, FNP-C

Individual provider Family Nurse Practitioner · NPI 1609100528

Arennette Tysha Anthony, FNP-C is a Nurse Practitioner in Durham, North Carolina. Qualified in 2009, 17 years ago. Practices with Ivy Medical Group PLLC, a 121-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

508 Fulton St
Durham, NC 27705
Phone: (919) 383-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1593 Yanceyville St Ste 200, Greensboro, NC 27405-6950 — (336) 230-0402
  • 916 Wolf Pack Way, Greensboro, NC 27406-8259 — (336) 558-4574

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5004488 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 197580 (NC)

Record details

NPI number1609100528
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2009
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ivy Medical Group Pllc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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