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General NPI Number Information
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NPI Number | 1659288843
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Entity Type | Organization
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Legal Business Name | J&M BEHAVIORAL HEALTH GROUP OF NORTH CAROLINA, PLLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 119 KANDEMOR LN
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3212
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Country | US
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Telephone | 252-316-9145
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Fax |
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Provider Business Mailing Address
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Address Line | 119 KANDEMOR LN
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3212
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Country | US
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Telephone | 252-316-9145
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HALEY JUDD FRAZIER
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Credential | PMHNP, FNP
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Telephone | 252-316-9145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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