| NPI | 1740627835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKLYNN H TAGLIONE Business Office Manager 919-588-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900401) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2022-11-10 |