Individual
MRS. JILL MARIE GENERELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1333 S DICKINSON DR UNIT 230, LELAND, NC 28451-6434
(910) 662-8550
(910) 343-1924
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-8550
(910) 343-1924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019395
NC
363LG0600X
Gerontology Nurse Practitioner
26NJ00896300
NJ
Other
Enumeration date
01/15/2019
Last updated
01/26/2024
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