Individual
JENNIFER ANN CHANCELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRAIL, SUITE 300, RALEIGH, NC 27607
(919) 781-5510
(919) 781-5053
Mailing address
2615 LAKE DR STE 201, RALEIGH, NC 27607-6694
(919) 232-6880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2008-00615
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
2008-00615
NC
Other
Enumeration date
05/01/2007
Last updated
03/10/2026
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