Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 149441 | NC |
N | 207VX0000X | Obstetrician | 2012-01607 | NC |
NPI | 1174786248 |
---|---|
Provider Name | Dr. Jaleema Nanton Speaks |
First Address | Charlotte, NC 28260-0447 |
Second Address | Winston Salem, NC 27103-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5921298 | (05) | NC |