Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Clinic/Center |
261Q00000X |
| NPI Number | 1831223304 |
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| LBN Legal business name | JEANNE ELNADRY MD PC | ||||
| Authorized official | JEANNE ELNADRY - (OWNER PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/15/2007 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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