Individual
JULIA BLAKE ALLEN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 OAKRIDGE BLVD STE B2, LUMBERTON, NC 28358-2351
(910) 671-0052
Mailing address
725 OAKRIDGE BLVD STE B2, LUMBERTON, NC 28358-2351
(910) 671-0052
(910) 671-9157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014750
NC
Other
Enumeration date
07/20/2021
Last updated
03/04/2026
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