Individual
JACQUANISHA MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(800) 362-0655
Mailing address
1411 BRIDGEFORD DR NW, HUNTERSVILLE, NC 28078-0171
(336) 404-1805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03190083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03190083
AANP
NC
Enumeration date
05/13/2019
Last updated
11/03/2025
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