Individual
JAMIE PAWLINA WHITE BASTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2703 HENRY ST, GREENSBORO, NC 27405-3669
(336) 621-8911
(336) 621-6322
Mailing address
124 E GATE CITY BLVD, GREENSBORO, NC 27406-1457
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5020125
NC
Other
Enumeration date
02/15/2024
Last updated
06/26/2024
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