Organization
JAN DANIEL, NP, PLLC
Active
Other names
Jan Daniel, NP, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA H TUCKER (ADMINISTRATOR)
(336) 210-8409
Entity
Organization
Contact information
Practice address
8404 US HWY 158, STOKESDALE, NC 27357
(336) 708-3227
(336) 355-5224
Mailing address
211 SHELTON RD, STOKESDALE, NC 27357-8204
(336) 707-3227
(336) 355-5224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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