Individual
JENNY MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
528 EVOLVE DR, GARNER, NC 27529-4693
(917) 916-9452
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365938
NC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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