Basic Information
Provider Information
NPI: 1396052965
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HANKIN
FirstName: JULIA
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1869
Address2:  
City: FLETCHER
State: NC
PostalCode: 287321869
CountryCode: US
TelephoneNumber: 8286875616
FaxNumber: 8286508076
Practice Location
Address1: 436 AIRPORT ROAD
Address2: SUITE 20
City: ARDEN
State: NC
PostalCode: 28704
CountryCode: US
TelephoneNumber: 4072002352
FaxNumber: 4072001360
Other Information
ProviderEnumerationDate: 09/02/2010
LastUpdateDate: 10/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF0714150NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X5007084NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000X270547NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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