Powell, Jenifer L
Powell, Jenifer L is an individual health care provider with primary practice located at 3000 New Bern Ave Wakemed, Raleigh NC 27610-1231. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Powell, Jenifer L can be contacted via phone (919) 350-7846.Contact Information
Primary practice address
3000 New Bern Ave Wakemed
Raleigh NC 27610-1231
Phone: (919) 350-7846
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3101 | North Carolina |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3101 | North Carolina |
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 3101 | North Carolina |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 3101 | North Carolina |
Profile Details
NPI number | 1225014723 |
---|---|
LBN Legal business name | Powell, Jenifer L |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 16th, 2005 |
Last updated | Jul 11th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225014723 | NPPES |
North Carolina | MEDICAID | 6000856 | |
North Carolina | MEDICAID | 6000751 | |
North Carolina | Other | 046PP |
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