Outlaw, Juanita Shawnta

Outlaw, Juanita Shawnta is an individual health care provider with primary practice located at 293 Bella Sq , Smithfield NC 27577-8961. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Outlaw, Juanita Shawnta can be contacted via phone (252) 724-0192.

Contact Information

Primary practice address
293 Bella Sq Smithfield NC 27577-8961
Phone: (252) 724-0192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5017031 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 197527 North Carolina

Profile Details

NPI number 1083338198
LBN Legal business name Outlaw, Juanita Shawnta
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2022
Last updated Jan 3rd, 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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