Individual
MRS. JENNA NICOLE BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 TRENT DR, DURHAM, NC 27710-3037
(919) 613-4333
Mailing address
200 TRENT DR, DURHAM, NC 27710-3037
(919) 613-4333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-04735
NC
Other
Enumeration date
01/15/2014
Last updated
06/25/2014
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