Individual
MRS. JEANNA J BATESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705
(919) 684-6721
(919) 681-7085
Mailing address
BOX 3886 DUMC, DURHAM, NC 27710-0001
(919) 684-6721
(919) 681-7085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07904
NC
363A00000X
Physician Assistant
0110004975
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780079608
—
VA
01
—
P01546221
RAILROAD
VA
Enumeration date
03/30/2015
Last updated
06/23/2018
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