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NPI Code Detail

MEDICARE: HALEY JUDD FRAZIER

MEDICARE: HALEY JUDD FRAZIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5018333NC
2363LP0200XPediatric Nurse Practitioner5018333NC
3363LP2300XPrimary Care Nurse Practitioner5018333NC
4363LF0000XFamily Nurse Practitioner5018333NC

General Provider Information

NPI Number : 1033898937
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY JUDD FRAZIER
Provider Business Mailing Address
First Line : 107 W NASHVILLE DR
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1288
Country : US
Telephone Number : 252-676-8285
Fax Number :
Provider Business Practice Location Address
First Line : 107 W NASHVILLE DR STE A
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1289
Country : US
Telephone Number : 252-450-9052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 12/18/2023

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Directions to “ HALEY JUDD FRAZIER ” Practice Location

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