Individual
MRS. JANE LINGAO PUNZALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
217 GLENSFORD DR, FAYETTEVILLE, NC 28314-0892
(910) 483-4647
Mailing address
847 SCOTCH HALL WAY APT 106, FAYETTEVILLE, NC 28303-4888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012098
NC
Other
Enumeration date
08/05/2019
Last updated
09/09/2019
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