Individual
JESSICA BLAIR KABOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
10 DUKE MEDICINE CIR, DURHAM, NC 27710-0816
(919) 623-2344
Mailing address
1106 CATCH FLY LN, DURHAM, NC 27713-2563
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175460
VA
Other
Enumeration date
09/28/2017
Last updated
07/07/2020
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