Healthcare Provider Details

I. General information

NPI: 1982037172
Provider Name (Legal Business Name): LOIS JEANINNE IIAMS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2013
Last Update Date: 02/28/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 GREENFIELD ST
WILMINGTON NC
28401
US

IV. Provider business mailing address

PO BOX 936857
ATLANTA GA
31193-6857
US

V. Phone/Fax

Practice location:
  • Phone: 910-833-9100
  • Fax: 910-833-9109
Mailing address:
  • Phone: 910-300-4500
  • Fax: 910-675-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5006334
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5006334
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: