Individual provider Active NPI

Jamila Otowan

  • Maternal Newborn Registered Nurse
  • Fayetteville, NC
National Provider Identifier
1497679468
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
0001287213 Issued in VA
Practice address
632 Cresswell Moor Way
Fayetteville, NC 28311-1083
Phone
(347) 793-7604
NPI assigned
Aug 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 0001287213 VA Primary

Addresses

Primary practice location

632 Cresswell Moor Way
Fayetteville, NC 28311-1083

Mailing address

632 Cresswell Moor Way
Fayetteville, NC 28311-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1497679468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 CRESSWELL MOOR WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 CRESSWELL MOOR WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111083",
            "telephone_number": "347-793-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOWAN",
        "first_name": "JAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "VA",
            "license": "0001287213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.