Healthcare Provider Details

I. General information

NPI: 1023913332
Provider Name (Legal Business Name): OVUM MEDICAL NC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ASHVILLE AVE STE 360
CARY NC
27518-6134
US

IV. Provider business mailing address

176 MINE LAKE CT STE 100
RALEIGH NC
27615-6417
US

V. Phone/Fax

Practice location:
  • Phone: 307-284-3227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JODIE HORTON
Title or Position: PHYSICIAN/MEDICAL DIRECTOR
Credential: MD
Phone: 307-284-3227