Individual
JULIE EILEEN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
110 EASTWOOD DR, WALLACE, NC 28466-9201
(910) 285-2330
(910) 320-8429
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-2042
(855) 996-9090
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
371936
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5020865
NC
363LG0600X
Gerontology Nurse Practitioner
5020865
NC
Other
Enumeration date
09/10/2024
Last updated
01/27/2026
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