Individual
MRS. JACKIE RUTH O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1606 PHYSICIANS DR, SUITE 103, WILMINGTON, NC 28401-7361
(910) 815-3994
(910) 815-3998
Mailing address
1606 PHYSICIANS DR, SUITE 103, WILMINGTON, NC 28401-7361
(910) 815-3994
(910) 815-3998
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN247313
OH
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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