Individual
MRS. BONNIE JEAN WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
404 HATFIELD CT, LUMBERTON, NC 28358
(910) 738-3358
(910) 738-9174
Mailing address
404 HATFIELD CT, LUMBERTON, NC 28358-1126
(910) 738-3358
(910) 738-9174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010638
NC
Other
Enumeration date
06/21/2018
Last updated
02/06/2023
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