Individual
JEWELL S MABERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3125 POPLARWOOD CT, ASPEN BLDG, SUITE 100, RALEIGH, NC 27604-1084
(800) 632-6074
(866) 341-7509
Mailing address
616 WESTSIDE DR, NEWTON, NC 28658-3622
(828) 465-2719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900215
NC
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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