Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1821740374 |
| LBN Legal business name | ACCESSMED LLC |
| Authorized official | JULANE GREGORY - (NURSE PRACTITIONER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/25/2022 |
| Last updated | 03/21/2022 - About 4 years ago |
| Identifiers | n/a |
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