Individual
MRS. RUTH ANN DUBBELMAN JENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
8815 COMMONS TOWNES DR, RALEIGH, NC 27616-8083
(919) 771-3295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280387
NC
367500000X
Certified Registered Nurse Anesthetist
128314
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6462
NC
Other
Enumeration date
03/24/2019
Last updated
09/22/2020
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