Individual
JESSICA LEE WERDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607
(919) 784-3100
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5005444
NC
Other
Enumeration date
02/10/2012
Last updated
03/26/2021
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