Individual
MS. JEANNE RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3820B BRIDGES ST, MOREHEAD CITY, NC 28557-2918
(252) 726-0707
Mailing address
105 HOLLY RD, PINE KNOLL SHORES, NC 28512-6719
(252) 247-4665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83921
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83921
STATE LICENSE
NC
Enumeration date
01/18/2008
Last updated
01/18/2008
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