Individual
KENDALL CHRISTINE JUKKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8162
(919) 235-6466
Mailing address
1300 TRIBUTE CENTER DR APT 235, RALEIGH, NC 27612-3226
(661) 644-4561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019665
NC
363LF0000X
Family Nurse Practitioner
95023560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194437806
—
NC
Enumeration date
12/14/2022
Last updated
05/24/2024
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