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Individual
JANISE A BREWINGTON
Active
Individual
JANISE A BREWINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
031848-RN
NC
363L00000X
Nurse Practitioner
200856
NC
363LF0000X
Family Nurse Practitioner
031848-RN
NC
363LF0000X
Family Nurse Practitioner
Primary
APRN1451072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005525
—
NC
Enumeration date
08/10/2005
Last updated
10/01/2019
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