Individual
JANE S OLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2222 S 17TH ST, WILMINGTON, NC 28401-7515
(910) 796-7900
(910) 796-7901
Mailing address
2222 S 17TH ST, WILMINGTON, NC 28401-7515
(910) 796-7900
(910) 796-7901
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
NC
Other
Enumeration date
08/08/2006
Last updated
09/24/2007
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