| NPI | 1629494265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ANN DICKERHOFF Nurse Practitioner, Owner 910-670-2047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 148570) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 164680) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-26 |