Individual
MS. JEAN ANN TRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP
Contact information
Practice address
WAKE FOREST BAPTIST HEALTH, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4101
Mailing address
3103 MADISON AVE, GREENSBORO, NC 27403-1422
(336) 706-1579
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
81188
NC
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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