Queen, Julie Barr Tedder

Queen, Julie Barr Tedder is an individual health care provider with primary practice located at 200 Health Park Dr Ste 100 , Garner NC 27529-4679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Queen, Julie Barr Tedder can be contacted via phone (919) 773-1223.

Contact Information

Primary practice address
200 Health Park Dr Ste 100 Garner NC 27529-4679
Phone: (919) 773-1223
Fax: (919) 773-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00820 North Carolina

Profile Details

NPI number 1720113376
LBN Legal business name Queen, Julie Barr Tedder
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Oct 2nd, 2019 - about 6 years ago

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 1720113376 NPPES
North Carolina MEDICAID 5902803

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