Individual
MRS. JENNAH D BATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1000-00190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538196514
TRICARE - NORTH REGION
NC
05
—
8000504
—
NC
01
—
P00742942
RAILROAD MEDICARE
NC
Enumeration date
06/27/2006
Last updated
12/02/2019
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