Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 3866 | NC |
NPI | 1114948494 |
---|---|
Provider Name | Julia Lynn James |
First Address | Gastonia, NC 28052-6430 |
Second Address | Gastonia, NC 28052-6430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 26/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89-1256N | (05) | NC |
G27666 | (02) | NC |