Individual
JILL MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1126 N CHURCH ST, GREENSBORO, NC 27401-1000
(336) 938-0800
Mailing address
1005 SURRY DR, GREENSBORO, NC 27408-6819
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5010751
NC
Other
Enumeration date
09/08/2018
Last updated
08/25/2021
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