Individual
J'NELLE BETH HARVEY RUSCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5211 S COLLEGE RD, WILMINGTON, NC 28412-2209
(910) 772-6290
(910) 341-3429
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 251-8824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102743
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00097319
RAILROAD MEDICARE
NC
Enumeration date
10/05/2006
Last updated
02/01/2023
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