Individual
JENNA NICOLE MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 HILLANDALE RD STE 25A, DURHAM, NC 27705-2671
(919) 620-7300
Mailing address
315 TRENT DR BOX 102352, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-259390
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
268964
MA
207RP1001X
Pulmonary Disease Physician
Primary
268964
MA
Other
Enumeration date
06/17/2014
Last updated
01/09/2024
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