Individual
MRS. JESSICA RADFORD PHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3765
Mailing address
3100 SPRING FOREST RD, SUITE130, RALEIGH, NC 27616-2880
(919) 873-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
91922
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
91922
NC
Other
Enumeration date
02/26/2013
Last updated
08/17/2015
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