Individual
DR. JACQUELINE RAE FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2608 ERWIN RD STE 300, DURHAM, NC 27705-4597
(919) 698-2946
Mailing address
3015 APPLING WAY, DURHAM, NC 27703-9277
(305) 301-7894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5658
PSYCHOLOGIST LICENSE
NC
Enumeration date
01/07/2020
Last updated
11/27/2023
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