Individual
DR. JENNIFER MICHELLE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3115 ACADEMY RD, DURHAM, NC 27707
(919) 493-7456
(919) 493-1718
Mailing address
3115 ACADEMY RD, DURHAM, NC 27707-2652
(919) 493-7456
(919) 493-1718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093V0
BCBS PIN
NC
05
—
5905982
—
NC
Enumeration date
01/10/2007
Last updated
05/21/2018
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