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NPI Code Detail

MEDICARE: MRS. NORMA JANE MARSHBURN FNP

MEDICARE:  MRS. NORMA JANE MARSHBURN  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner200539NC

General Provider Information

NPI Number : 1558323568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NORMA JANE MARSHBURN FNP
Provider Business Mailing Address
First Line : PO BOX 639
Second Line :
City : ROSE HILL
State : NC
Zip : 28458-0639
Country : US
Telephone Number : 910-289-3027
Fax Number : 910-289-2894
Provider Business Practice Location Address
First Line : 600 SOUTH SYCAMORE STREET
Second Line :
City : ROSE HILL
State : NC
Zip : 28458
Country : US
Telephone Number : 910-289-3027
Fax Number : 910-289-2894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 11/08/2011

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Directions to “ MRS. NORMA JANE MARSHBURN FNP” Practice Location

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