Individual
MS. ANGIE KAY JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 791-3155
Mailing address
511 SEAVIEW DR, EDENTON, NC 27932-9269
(252) 337-4882
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69065
NC
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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