Jackie G Dennis, RN Valid NPI

Individual provider · Registered Nurse · Elizabethtown, NC

NPI

1174688949

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

139366 (NC)

Sex

Female

Sole proprietor

No

Enumerated

2006-12-22

Last updated

2007-07-08