Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 00048029 | SC |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 1350 | SC |
NPI | 1053469734 |
---|---|
Provider Name | Ms. Jane Page Dawsey |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29401-1113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 29/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
GP3299 | (05) | SC |
NP0301 | (05) | SC |