Individual
DR. JEANETTE LILLIAN BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16511 NORTHCROSS DR STE A, HUNTERSVILLE, NC 28078-5021
(910) 296-2130
(704) 896-3313
Mailing address
2728 EVANS DAIRY RD, FAYETTEVILLE, NC 28312-7194
(919) 827-7766
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9300658
NC
208D00000X
General Practice Physician
Primary
9300658
NC
Other
Enumeration date
01/17/2007
Last updated
03/05/2026
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