Provider Demographics
NPI:1750927018
Name:SHAYO, JULIUS CHAMBERLAIN (NP-C)
Entity type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:CHAMBERLAIN
Last Name:SHAYO
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7161 REX RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-6457
Mailing Address - Country:US
Mailing Address - Phone:763-222-6096
Mailing Address - Fax:
Practice Address - Street 1:7161 REX RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6457
Practice Address - Country:US
Practice Address - Phone:763-222-6096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRN256265163W00000X
NC5012851363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse