Individual
MRS. JENNIFER WEST MCNEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 476-7411
Mailing address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 476-7411
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0762X
BLUE CROSS BLUE SHIELD
NC
05
—
8000197
—
NC
Enumeration date
08/14/2007
Last updated
01/03/2013
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