Individual
JUDITH H. GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4156
(704) 384-5613
Mailing address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4156
(704) 384-5613
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300202
NC
Other
Enumeration date
04/03/2006
Last updated
09/09/2012
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