Individual
JANE LINDA NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1655 WAKE DR UNIT 101, WAKE FOREST, NC 27587-4746
(919) 556-4779
(919) 556-5277
Mailing address
1655 WAKE DR UNIT 101, WAKE FOREST, NC 27587-4746
(919) 556-4779
(919) 556-5277
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5015762
NC
Other
Enumeration date
02/11/2022
Last updated
02/06/2024
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