Individual
JAMISON LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WALTER REED DR, GREENSBORO, NC 27403-1128
(336) 832-9600
Mailing address
2202 MILLBROOK DR, HAW RIVER, NC 27258-9596
(336) 264-9838
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006475
NC
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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