Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2009-01052 | NC |
Y | 111NI0900X | Internist | 2009-01052 | NC |
N | 207RH0002X | Hospice and Palliative Medicine | 2009-01052 | NC |
NPI | 1033314117 |
---|---|
Provider Name | Mrs. Julie Lynn Jones |
First Address | Fort Bragg, NC 28310-0001 |
Second Address | Fort Bragg, NC 28310-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 04/03/2019 |