Individual
JERRI ALLEN-GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2520 CHESTNUT HEIGHTS RD, WINSTON SALEM, NC 27107-6467
(336) 624-2011
Mailing address
2520 CHESTNUT HEIGHTS RD, WINSTON SALEM, NC 27107-6467
(336) 624-2011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159265
NC
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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