Individual
SALLY A JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
940069
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
940069
NC
Other
Enumeration date
06/23/2006
Last updated
04/01/2021
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