Individual
JENNIFER HAYNES HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 N CHERRY ST FL 2, WINSTON SALEM, NC 27101-4009
(336) 733-0549
(336) 721-6198
Mailing address
4366 WAKEMAN DR, WINSTON SALEM, NC 27105-3335
(336) 829-8215
(336) 721-6198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005798
NC
Other
Enumeration date
12/18/2012
Last updated
06/18/2024
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