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Individual

MRS. ROSEMARIE O WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 353-1536
Mailing address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 353-1536

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5007376
NC
363LG0600X
Gerontology Nurse Practitioner
5007376
NC
363LP2300X
Primary Care Nurse Practitioner
5007376
NC

Other

Enumeration date
12/15/2014
Last updated
11/06/2015
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