Glenn, Jacqueline Channelle

Glenn, Jacqueline Channelle is an individual health care provider with primary practice located at 249 Billingsley Road , Charlotte NC 28211. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Glenn, Jacqueline Channelle can be contacted via phone (704) 336-4662.

Contact Information

Primary practice address
249 Billingsley Road Charlotte NC 28211
Fax: (704) 331-0859
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 050671 North Carolina

Profile Details

NPI number 1821182320
LBN Legal business name Glenn, Jacqueline Channelle
Credentials RN,MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821182320 NPPES
North Carolina Other 01023 HEALTH DEPARTMENT

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