Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 9701092 | NC |
NPI | 1033191721 |
---|---|
Provider Name | Dr. Jennifer Wells Orr |
First Address | Morehead City, NC 28557-2869 |
Second Address | Morehead City, NC 28557-2869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 21/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891063R | (05) | NC |
G54743 | (02) | NC |