Individual
MRS. VITERIA MARIE HARRIS-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RN
Contact information
Practice address
307 TRENT DR, DURHAM, NC 27710-0001
(919) 684-1774
Mailing address
307 TRENT DR, DURHAM, NC 27710-0001
(919) 684-1774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
084363
NC
163WG0000X
General Practice Registered Nurse
084363
NC
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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