MEDICARE: MS. MARY JO CHAPMAN NP

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
1	363LA2200X	Adult Health Nurse Practitioner	63597	NC

General Provider Information

NPI Number	:	1194992156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY JO CHAPMAN NP

Provider Business Mailing Address
First Line	:	500 ERWIN ROAD DUKE NORTH HOSPITAL
Second Line	:	ROOM 7429
City	:	DURHAM
State	:	NC
Zip	:	27710
Country	:	US
Telephone Number	:	919-684-3739
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 ERWIN ROAD DUKE NORTH HOSPITAL
Second Line	:	ROOM 7429
City	:	DURHAM
State	:	NC
Zip	:	27710
Country	:	US
Telephone Number	:	919-684-3739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/09/2008

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