Individual
MRS. JACQUELINE DAVANZO BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4378
Mailing address
3588 S BEND RD, WINTERVILLE, NC 28590-1405
(252) 341-9544
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5014598
NC
Other
Enumeration date
06/24/2021
Last updated
12/29/2021
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