Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5010342 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 5010342 | NC |
NPI | 1538661236 |
---|---|
Provider Name | Jamie T Douthit |
First Address | Salisbury, NC 28144-2705 |
Second Address | Salisbury, NC 28144-2732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2018 |
Last Update Date | 18/03/2020 |