Individual
MRS. JILLIAN SMITH PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 DOCTORS CIR BLDG A, WILMINGTON, NC 28401-7403
(910) 662-7500
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-7500
(910) 662-7501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015207
NC
363LF0000X
Family Nurse Practitioner
5015207
NC
Other
Enumeration date
10/13/2021
Last updated
08/02/2024
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