Individual
JULIA DIANE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1230 US HIGHWAY 70 E, SUITE 1, NEW BERN, NC 28560-6616
(252) 514-6594
(252) 639-2005
Mailing address
1230 US HIGHWAY 70 E, SUITE 1, NEW BERN, NC 28560-6616
(252) 514-6594
(252) 639-2005
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5005491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265705750
NPI
NC
05
—
7006103
—
NC
Enumeration date
02/15/2012
Last updated
11/05/2013
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