Healthcare Provider Details

I. General information

NPI: 1649132507
Provider Name (Legal Business Name): JANET MARIA COLON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 SAINTS ST
DUNN NC
28334-8433
US

IV. Provider business mailing address

502 SAINTS ST
DUNN NC
28334-8433
US

V. Phone/Fax

Practice location:
  • Phone: 919-896-2902
  • Fax:
Mailing address:
  • Phone: 919-896-2902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number330026
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: