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Organization
NASH STREET FAMILY PRACTICE , P.C.
Active
Organization
NASH STREET FAMILY PRACTICE , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JANICE WHITING STUMP FNP (PRESIDENT)
(252) 237-1610
Entity
Organization
Contact information
Practice address
114 BRENTWOOD CENTER LN N, WILSON, NC 27896-1710
(252) 237-1610
(252) 237-1630
Mailing address
114 BRENTWOOD CENTER LN N, WILSON, NC 27896-1710
(252) 237-1610
(252) 237-1630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000916
—
NC
Enumeration date
02/07/2007
Last updated
12/29/2009
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