Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 501566 | NC |
NPI | 1043703218 |
---|---|
Provider Name | Dr. Julie Anne Harrison-Swartz |
First Address | Fayetteville, NC 28311-4601 |
Second Address | Pembroke, NC 28372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2018 |
Last Update Date | 12/06/2018 |