Individual
JULIE LYNNE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1606 PHYSICIANS DR STE 104, WILMINGTON, NC 28401-7348
(910) 343-6890
(910) 332-1233
Mailing address
2500 KIRKLEY CT, WILMINGTON, NC 28409-8597
(910) 343-6890
(910) 332-1233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006814
NC
Other
Enumeration date
06/06/2011
Last updated
02/12/2020
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