Individual
JEANMARIE G MCNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2780 SKYPARK DR STE 125, TORRANCE, CA 90505-7528
(310) 530-8013
(310) 530-8014
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95006152
CA
363LA2100X
Acute Care Nurse Practitioner
95047647
CA
Other
Enumeration date
02/13/2017
Last updated
08/29/2022
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