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Individual

JUSTIN KYLE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
522 ALLEN ST., SUITE 103, TROY, NC 27371-2861
(910) 571-5372
(910) 571-5373
Mailing address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2398
(919) 956-4000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018504
NC

Other

Enumeration date
07/21/2023
Last updated
04/09/2026
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