Individual
MARY JENNIFER MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 NEW BERN AVE, SUITE 1200, RALEIGH, NC 27610-1231
(919) 231-6132
(919) 231-6276
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00179
NC
363AM0700X
Medical Physician Assistant
Primary
001000179
NC
Other
Enumeration date
07/19/2006
Last updated
03/09/2021
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