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Individual

JULIA COOKE PLEMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MN,WHNP,FNP

Contact information

Practice address
157 PARAGON PARKWAY, CLYDE, NC 28721-9463
(828) 452-6675
(828) 452-6730
Mailing address
157 PARAGON PARKWAY, CLYDE, NC 28721-9463
(828) 452-6675
(828) 452-6730

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
057203
NC
363LF0000X
Family Nurse Practitioner
Primary
940054
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
057203
REGISTERED NURSES LICENSE
NC
01
940054
NURSE PRACTITIONER LICENS
NC
Enumeration date
09/17/2006
Last updated
08/09/2012
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