| NPI | 1871847756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN TUMBLESON Nurse Practitioner 919-830-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005897) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |