Leilani Cezar Jumawid
Nurse Practitioner in King, NC. Individual provider (NPI-1).
NPI number1871900548
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1871900548
- Entity type
- Individual (NPI-1)
- Name
- Leilani Cezar Jumawid
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2014
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5007014 | NC | Yes |
| 363L00000X | Nurse Practitioner | F0714180 | NC |
Practice location
167 Moore Rd Ste 206King, NC 27021-8770
Phone 336-673-6450 · Fax 336-673-6449
Mailing address
Po Box 60447Charlotte, NC 28260-0447
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