Individual
JAMIE PURVIS HAUSHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004948
NC
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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