Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5009441 | NC |
N | 363LP2300X | Nurse Practitioner - Primary Care | 178370 | NC |
NPI | 1043744386 |
---|---|
Provider Name | Julie Curtis Thorn |
First Address | Forest City, NC 28043-9444 |
Second Address | Forest City, NC 28043-9444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2017 |
Last Update Date | 17/03/2018 |