Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE KIRBY
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · GREENSBORO, NC
Registration Details
- NPI Number
- 1477045714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2018 (7.8867983832147 yrs)
- Last Updated
- Jun 2, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
5212 FOX HUNT DR APT AGREENSBORO, NC, 274077118Browse NC providers · Browse ZIP 27407
- Phone
- 3365414545
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in GREENSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| ADDIE WATSON | — | 1881711802 |
| MS. RAVONDA CARNEY MEACHEM | M.S. | 1699971838 |
| MR. RONALD ANTHONY BENJAMIN | — | 1487131074 |
| TIFFINI MARIA SIMPSON | — | 1982259537 |
| JESSICA FOSTER | MHL | 1174118673 |
| KENYATTA NECOLE DAVIS | — | 1801516695 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.