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NPI Code Detail

MEDICARE: JANET L POINDEXTER FNP-C

MEDICARE: JANET L POINDEXTER FNP-C
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
1363LF0000XFamily Nurse Practitioner201961NC

General Provider Information

NPI Number : 1578564803
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET L POINDEXTER FNP-C
Provider Business Mailing Address
First Line : 923 PRISTINE LN
Second Line :
City : ROLESVILLE
State : NC
Zip : 27571-9308
Country : US
Telephone Number : 919-413-3836
Fax Number : 877-720-2076
Provider Business Practice Location Address
First Line : 3803 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2593
Country : US
Telephone Number : 919-413-3836
Fax Number : 877-720-2076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/23/2015

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