Individual
JACKEE L NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASST
Contact information
Practice address
834 TYVOLA RD STE 108, CHARLOTTE, NC 28217
(704) 630-2268
Mailing address
201 N MCDOWELL ST UNIT 30843, CHARLOTTE, NC 28230-0077
(704) 630-2268
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
523821
NC
Other
Enumeration date
04/18/2019
Last updated
04/22/2019
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