Organization
WELLCARE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYNN H TAGLIONE (BUSINESS OFFICE MANAGER)
(919) 588-1998
Entity
Organization
Contact information
Practice address
215 KINLAW RD, FAYETTEVILLE, NC 28311-1431
(919) 588-1998
(888) 987-4108
Mailing address
215 KINLAW RD, FAYETTEVILLE, NC 28311-1431
(919) 588-1998
(888) 987-4108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170627835
—
NC
Enumeration date
05/29/2013
Last updated
11/10/2022
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