Individual
JEFFREY LEE DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
OLD HIGHWAY 75 FCI II BUTNER, HEALTH SERVICES UNIT, BUTNER, NC 27509-1000
(919) 575-8000
Mailing address
109 MEADOW BROOK LN, OXFORD, NC 27565-2870
(919) 690-1618
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
123709
NC
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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