Individual
JENNIFER BROOKE RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1305 JENNINGS MILL RD BLDG 300-110, WATKINSVILLE, GA 30677-7238
(706) 613-5880
Mailing address
46 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 715-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
331788
NC
363L00000X
Nurse Practitioner
5016872
NC
363L00000X
Nurse Practitioner
Primary
RN245513
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750001764
—
NC
Enumeration date
08/30/2022
Last updated
01/14/2025
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