Individual
JOSEPHINE WINIFRED HAZELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1415 NC-54 SUITE 105, DURHAM, NC 27707
(919) 275-1405
Mailing address
875 LONGLEAF PINE PL, MEBANE, NC 27302-7833
(919) 730-3785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
HAZE-S67UD
NC
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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