Byrd, Larry Jason

Byrd, Larry Jason is an individual health care provider with primary practice located at 1814 New Hanover Medical Park Dr , Wilmington NC 28403-5350. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Byrd, Larry Jason can be contacted via phone (910) 662-8765.

Contact Information

Primary practice address
1814 New Hanover Medical Park Dr Wilmington NC 28403-5350
Phone: (910) 662-8765
Fax: (910) 362-9123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0002-01782 North Carolina

Profile Details

NPI number 1083663454
LBN Legal business name Byrd, Larry Jason
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083663454 NPPES
Other P00283215 RAILRAD MEDICARE

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