Individual
MRS. JANICE TILLERY MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP-C
Contact information
Practice address
19 NORTH DOBBS STREET, HALIFAX, NC 27839-0010
(252) 583-5021
Mailing address
PO BOX 874, LITTLETON, NC 27850-0874
(252) 586-4065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
059484
NC
Other
Enumeration date
03/15/2007
Last updated
04/18/2013
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