Individual
JILLIAN VARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4207 LAKE BOONE TRL, RALEIGH, NC 27607-6684
(919) 784-7874
Mailing address
4207 LAKE BOONE TRL, RALEIGH, NC 27607-6684
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001007873
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2018
Last updated
03/26/2018
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