Individual
MR. JAMES PETER PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4300
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R98832
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R98832
NURSING LICENSE NUMBER
SC
Enumeration date
07/16/2011
Last updated
07/16/2011
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