Individual
JULIE MACKENZIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(240) 447-0364
Mailing address
5438 MARINA CLUB DR, WILMINGTON, NC 28409-4104
(240) 447-0364
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5001807
NC
Other
Enumeration date
12/15/2021
Last updated
04/15/2022
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