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1457003865
JACKIE MCNEILL-SHORTER
DURHAM, NC
NPI
1457003865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 2021102013)
Enumeration Date
2022-01-26
Last Update Date
2022-06-24
Business Address
Mrs. JACKIE MCNEILL-SHORTER PMHNP-BC
5306 NC HIGHWAY 55 STE 105
DURHAM, NC 27713-7812
Phone number: 919-457-1517
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Mailing Address
Mrs. JACKIE MCNEILL-SHORTER PMHNP-BC
1822 ELLIE AVE
FAYETTEVILLE, NC 28314-8526
Phone number: 910-309-0866
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