Jacquelyn Petty is a Professional in Sanford, North Carolina. Jacquelyn Petty practices all healthcare services and medical treatments related to Professional. The NPI Number for Jacquelyn Petty is 1053466870. The last update date is 2013-08-01.
Jacquelyn Petty's current location address is 130 Carbonton Rd, Sanford, North Carolina. You can contact this provider via phone number 9197746521. The mailing address for Jacquelyn Petty is 130 Carbonton Rd, Sanford, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Petty |
|---|---|
| Address | 130 Carbonton Rd, Sanford, North Carolina |
| Phone Number | 9197746521 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1053466870 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2013-08-01 |
Provider Mailing Address Detail
| Address | 130 Carbonton Rd |
|---|---|
| City | Sanford |
| State | North Carolina (NC) |
| Post Code | 273304009 |
| Phone Number | 9197746521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 4807 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6103319 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacquelyn Petty by the Centers for Medicare & Medicaid Services?
The Jacquelyn Petty has been assigned the NPI (National Provider Identifier) 1053466870 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jacquelyn Petty is physically located?
The Jacquelyn Petty is situated at the following address: 130 Carbonton Rd, Sanford, NC 273304009.
What is Jacquelyn Petty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacquelyn Petty is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053466870 to Jacquelyn Petty?
The Centers for Medicare & Medicaid Services assigned the 1053466870 to Jacquelyn Petty on 2007-01-24.
As of what date were the Jacquelyn Petty's details last updated?
The information pertaining to the Jacquelyn Petty, including its address, specialty, and other details, was most recently updated on 2013-08-01.
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