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NPI Code Detail

MEDICARE: MRS. JEANNIE MOSELEY ZULLI RN, FNP-C, WHNP-BC

MEDICARE: MRS. JEANNIE MOSELEY ZULLI RN, FNP-C, WHNP-BC
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
1363LW0102XWomen's Health Nurse Practitioner153067NC
2363LF0000XFamily Nurse Practitioner153067NC

General Provider Information

NPI Number : 1770810376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANNIE MOSELEY ZULLI RN, FNP-C, WHNP-BC
Provider Business Mailing Address
First Line : 605 N MAIN ST
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2026
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 605 N MAIN ST
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2026
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2009
Last Update Date : 10/13/2017

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