Provider Demographics
NPI:1982037172
Name:IIAMS, LOIS JEANINNE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:JEANINNE
Last Name:IIAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936857
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-6857
Mailing Address - Country:US
Mailing Address - Phone:910-300-4500
Mailing Address - Fax:910-675-3030
Practice Address - Street 1:1423 GREENFIELD ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-833-9100
Practice Address - Fax:910-833-9109
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006334363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1982037172OtherHUMANA
NC1982037172OtherFIRSTCAROLINACARE
NC1982037172Medicaid
NC1982037172OtherBCBSNC
NC1982037172OtherAETNA
NC1982037172OtherBCBSNC