Individual
JAM (JOYCE) GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 612-8327
(919) 212-7558
Mailing address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1808
(919) 612-8327
(919) 212-7558
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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