Individual
MR. JEREMY WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
8914A REED DR, EMERALD ISLE, NC 28594-2462
(252) 764-2024
(252) 764-2376
Mailing address
8914A REED DR, EMERALD ISLE, NC 28594-2462
(252) 764-2024
(252) 764-2376
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5007249
NC
Other
Enumeration date
10/08/2014
Last updated
03/04/2019
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