Individual
MRS. JAN CAROLE HERSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
380 BUCKS LN, WARRENSVILLE, NC 28693-0283
(338) 384-4734
(336) 384-4734
Mailing address
PO BOX 283, 380 BUCKS LANE, WARRENSVILLE, NC 28693-0283
(336) 384-4734
(336) 384-4734
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0568
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301933
—
NC
Enumeration date
11/09/2006
Last updated
07/09/2007
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