Individual
JILL TANYA HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
10000 FALLS OF NEUSE RD, RALEIGH, NC 27614-7838
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6308
WI
363LA2200X
Adult Health Nurse Practitioner
5010616
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5010616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700271822
—
NC
Enumeration date
04/06/2015
Last updated
05/03/2022
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