Individual
SUE JENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N HERMAN ST, GOLDSBORO, NC 27530-2973
(919) 731-1000
Mailing address
895 CORBETT HILL RD, MOUNT OLIVE, NC 28365-6839
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
800109
NC
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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