Provider Demographics
NPI:1982280384
Name:BILLOCK, JAMES OWEN (NP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:OWEN
Last Name:BILLOCK
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-719-7892
Mailing Address - Fax:336-719-7898
Practice Address - Street 1:186 KIMEL PARK DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6946
Practice Address - Country:US
Practice Address - Phone:336-277-2000
Practice Address - Fax:336-277-2050
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2022-07-17
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Provider Licenses
StateLicense IDTaxonomies
NC5014264363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner