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NPI Code Detail

MEDICARE: MS. NANCY CAROLYN TRUITT FNP

MEDICARE: MS. NANCY CAROLYN TRUITT FNP
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 PractitionerNT200028NC

General Provider Information

NPI Number : 1972589851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY CAROLYN TRUITT FNP
Provider Business Mailing Address
First Line : 4000 S SWAIM STREET EXT
Second Line :
City : JONESVILLE
State : NC
Zip : 28642-9418
Country : US
Telephone Number : 336-835-6300
Fax Number : 336-835-4761
Provider Business Practice Location Address
First Line : 4000 S SWAIM STREET EXT
Second Line :
City : JONESVILLE
State : NC
Zip : 28642-9418
Country : US
Telephone Number : 336-835-6300
Fax Number : 336-835-4761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 03/07/2023

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