Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | COLE-TAK6UX | NC |
NPI | 1023575818 |
---|---|
Provider Name | Mrs. Janet Cole |
First Address | Fayetteville, NC 28314-8475 |
Second Address | Fayetteville, NC 28314-8475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2019 |
Last Update Date | 27/02/2019 |