Individual
JESSIE LYNN JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3765
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
257069
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
104645
NC
Other
Enumeration date
04/04/2014
Last updated
12/02/2015
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