Individual
JUANTIA APPLEWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1804 FOREST HILLS RD W, WILSON, NC 27893-3413
(252) 237-8161
Mailing address
1204 CAMDEN AVE, DURHAM, NC 27701-1427
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
240812
NC
363LA2200X
Adult Health Nurse Practitioner
5012000
NC
Other
Enumeration date
06/21/2019
Last updated
12/07/2020
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