Joanne Marie Stancil

Individual provider Active NPI Chore Provider · Dudley, NC

NPI 1992823975 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992823975
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
License
FCL 096 003 (NC)
Practice address
781 Old Mount Olive Highway
Dudley, NC 28333
Phone
(919) 734-2700
Fax
(919) 736-7891
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
FCL 096 003NCMDChore Provider

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X FCL 096 003 NC Yes

Addresses

Primary practice location

781 Old Mount Olive Highway
Dudley, NC 28333

Mailing address

781 Old Mt Olive Hwy
Dudley, NC 28333
Phone (919) 734-2700

Other identifiers

IdentifierTypeStateIssuer
7801720MedicaidNC

Other providers in Dudley, NC

All providers in Dudley, NC · Chore Provider in North Carolina

Sources for this page

Verify at the official NPI Registry.