Individual
JENNIE S PETRUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-0210
Mailing address
DEPARTMENT OF MEDICINE, CB#7005 MCNIDER HALL, CHAPEL HILL, NC 27599-7005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004743
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023796350001
—
PA
05
—
1023796350002
—
PA
01
—
2119064
HIGH MARK BS
—
Enumeration date
07/03/2009
Last updated
10/15/2012
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