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1336380112
KELLY L JERNIGAN
GREENVILLE, NC
NPI
1336380112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5004278)
Enumeration Date
2009-03-09
Last Update Date
2009-03-09
Business Address
-- KELLY L JERNIGAN FNP
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4130
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Mailing Address
-- KELLY L JERNIGAN FNP
2928 BEUNAVISTA CT
GREENVILLE, NC 27834-6236
Phone number: 252-341-5737
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