Individual
DR. JENNIFER E. MERSEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 KEISLER DR STE 102, CARY, NC 27518-7083
(984) 464-2244
(984) 464-3160
Mailing address
300 KEISLER DR STE 102, CARY, NC 27518-7083
(984) 464-2244
(984) 464-3160
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-107405
IL
207V00000X
Obstetrics & Gynecology Physician
A85943
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
2007-00448
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A859430
—
CA
Enumeration date
06/13/2006
Last updated
09/20/2022
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