Healthcare Provider Details

I. General information

NPI: 1659288843
Provider Name (Legal Business Name): J&M BEHAVIORAL HEALTH GROUP OF NORTH CAROLINA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 KANDEMOR LN
ROCKY MOUNT NC
27804-3212
US

IV. Provider business mailing address

119 KANDEMOR LN
ROCKY MOUNT NC
27804-3212
US

V. Phone/Fax

Practice location:
  • Phone: 252-316-9145
  • Fax:
Mailing address:
  • Phone: 252-316-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HALEY JUDD FRAZIER
Title or Position: OWNER
Credential: PMHNP, FNP
Phone: 252-316-9145