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Individual

MRS. JENNIFER MARION MCCREARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
800 W WILLIAMS ST, APEX, NC 27502-5203
(919) 363-9363
Mailing address
1600 PERIMETER PARK DR, SUITE 225, MORRISVILLE, NC 27560-8421

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000801
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200801
MEDICAL LICENSE NUMBER
NY
05
7005242
NC
Enumeration date
12/21/2005
Last updated
07/09/2013
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