Individual
JESSICA SAMS MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2704 TOXEY DR, RALEIGH, NC 27609-7643
(919) 878-1819
(919) 783-9774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001002070
NC
Other
Enumeration date
10/16/2009
Last updated
09/07/2010
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