Individual
JAMIE DINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704
(919) 477-6900
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011257
NC
363LF0000X
Family Nurse Practitioner
5011257
NC
Other
Enumeration date
11/29/2018
Last updated
04/25/2019
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