Individual
MRS. JACLYN BENTHALL SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010, CHAPEL HILL, NC 27599-7010
(919) 966-5136
(984) 974-4873
Mailing address
PO BOX 271647, UNC FP, SALT LAKE CITY, UT 84127-1647
(919) 448-8262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
224595
NC
Other
Enumeration date
09/18/2013
Last updated
10/10/2016
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