Individual
SHANELLE IMANI JILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 DALLAS SREET, DURHAM, NC 27707
(888) 944-6264
Mailing address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(888) 944-2149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
365143
NC
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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