Individual
JENNIFER GREENE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1966 MORGANTON BLVD SW STE B, LENOIR, NC 28645-5311
(828) 426-8448
(828) 426-8527
Mailing address
1966 MORGANTON BLVD SW STE B, LENOIR, NC 28645-5311
(828) 426-8448
(828) 426-8527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
136175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136175
RN
NC
05
—
8300175K
—
NC
Enumeration date
09/16/2008
Last updated
09/16/2008
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