Individual
JENNIFER ANNE RATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1040 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 633-1678
(252) 634-5913
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 633-1678
(252) 634-5913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200701929
NC
207Q00000X
Family Medicine Physician
OS011033L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148MG
BCBS
NC
05
—
5909170
—
NC
Enumeration date
05/26/2006
Last updated
01/12/2015
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