Mrs. Jacqueline Davanzo Brady
Nurse Practitioner - Neonatal (Critical Care)
2100 Stantonsburg Rd
Greenville
, North Carolina 27834-2818
Mrs. Jacqueline Davanzo Brady
Nurse Practitioner - Neonatal (Critical Care)
2100 Stantonsburg Rd
Greenville
, North Carolina 27834-2818
(252) 341-9544
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Mrs. Jacqueline Davanzo Brady
- 3588 S Bend Rd
- Winterville, NC
- Zip : 28590-1405
- Phone : (252) 341-9544
Second Address
- Mrs. Jacqueline Davanzo Brady
- 2100 Stantonsburg Rd
- Greenville, NC
- Zip : 27834-2818
- Phone : (252) 847-4378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5014598 | NC |
National Provider Identifier
| NPI | 1144899964 |
|---|---|
| Provider Name | Mrs. Jacqueline Davanzo Brady |
| First Address | Winterville, NC 28590-1405 |
| Second Address | Greenville, NC 27834-2818 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2021 |
| Last Update Date | 29/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.