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MRS. JANICE TILLERY MYRICK RN NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1821122565

Individual Registrant:
MRS. JANICE TILLERY MYRICK RN NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
19 NORTH DOBBS STREET  HALIFAX, NC 27839-0010 US
Tel: 252-583-5021  Fax: --

Contact information for business:
PO BOX 874  LITTLETON, NC 27850-0874 US
Tel: 252-586-4065  Fax: --

Registration Information:
NPI: 1821122565
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
NC059484

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NC - Page 1



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