Individual
JANELL JENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-6345
Mailing address
4319 CARLYS WAY, GREENSBORO, NC 27410-8535
(336) 314-9749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240235
NC
Other
Enumeration date
06/11/2014
Last updated
12/12/2022
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