Most Relevant Information
Provider Data
| NPI Number: | 1003562356 |
| Provider Name: | JOSEPHINE WINIFRED HAZELEY PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | HAZE-S67UD |
Most Important Dates
| Enumeration Date: | 02/25/2022 |
| Last Updated: | 02/25/2022 |
Provider Practice Location
1415 NC-54 SUITE 105
DURHAM
NC
27707
Practice Location Phone/Fax
| Phone: | 9192751405 |
| Fax: |
Provider Mailing Location
875 LONGLEAF PINE PL
MEBANE
NC
273027833
Provider Mailing Phone/Fax
| Phone: | 9197303785 |
| Fax: |