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NPI Code Detail

MEDICARE: MS. ANN HARBINSON JAWORSKI NP

MEDICARE: MS. ANN HARBINSON JAWORSKI 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
1363L00000XNurse Practitioner940019NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912933037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN HARBINSON JAWORSKI NP
Provider Business Mailing Address
First Line : PO BOX 936857
Second Line :
City : ATLANTA
State : GA
Zip : 31193-6857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2150 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-8052
Country : US
Telephone Number : 910-662-9300
Fax Number : 910-662-9301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 07/24/2024

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