Individual
MRS. JAMIE ELIZABETH CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 873-9533
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
(706) 255-8227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227781
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
087488
NC
Other
Enumeration date
04/05/2011
Last updated
10/14/2011
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