Doctor Name: | JANE ROUNTREE |
NPI Number: | 1902018724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GONP |
License Number: | 800148 |
Business Practice Address: | 118 Hamby Road Dobson, NC - 27017 |
Business Phone Number: | 3364018400 |
Business Fax Number: | |
Mailing Address: | 347 Robin Rd, MOUNT AIRY |
State: | NC |
Postal Code: | 270303045 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 800148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |