Individual
JILLIAN A MCNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 477-5152
(919) 477-5474
Mailing address
PO BOX 15133, DURHAM, NC 27704-0133
(919) 477-5152
(919) 477-5474
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001001171
NC
Other
Enumeration date
02/21/2008
Last updated
10/31/2012
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