NPI 1073195327
Candace Charlisa Jennette, MASTERSEDUCATION
Practice location
- Address
- 700 Marsh Grass Dr, Raleigh, NC 27610-2194
- Phone
- (919) 389-7686
Registered specialties (2)
Early Intervention Provider Agency
Primary
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1073195327
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Apr 2021
- Record last updated
- 28 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.