Individual
EVERGREEN EMMEJUNE HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 BRABHAM AVE, JACKSONVILLE, NC 28546-5003
(910) 347-1515
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-1540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26418
TN
363LF0000X
Family Nurse Practitioner
Primary
5013412
NC
Other
Enumeration date
07/28/2020
Last updated
11/15/2023
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