Individual
THELMA JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-5356
Mailing address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
268822
NC
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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