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Individual

JOANNA KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2815 CATES AVE, RALEIGH, NC 27607
(919) 515-2563
Mailing address
1603 GLENGARRY DR, CARY, NC 27511-5734
(919) 636-0352

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005716
NC
363LF0000X
Family Nurse Practitioner
95001115
CA
363LF0000X
Family Nurse Practitioner
95036180
CA

Other

Enumeration date
01/10/2012
Last updated
01/26/2023
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