| NPI | 1568348704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROLD JOHNSTON Provider 910-486-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| 163WL0100X Registered Nurse, Lactation Consultant | |
| 235Z00000X Speech-Language Pathologist, | |
| 363L00000X Nurse Practitioner | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 174N00000X Lactation Consultant, Non-RN | |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |