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Individual

MS. JULIA SELF WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4300 OAK PARK RD, SANFORD, NC 27330-9550
(919) 566-2072
(919) 566-6137
Mailing address
4300 OAK PARK RD, SANFORD, NC 27330-9550
(919) 566-2072
(919) 566-6137

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201318
NC
363LP0200X
Pediatric Nurse Practitioner
201318
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000286
NC
Enumeration date
09/27/2006
Last updated
07/11/2023
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