Powell, Jenifer L

Powell, Jenifer L is an individual health care provider with primary practice located at 3000 New Bern Ave Wakemed, Raleigh NC 27610-1231. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Powell, Jenifer L can be contacted via phone (919) 350-7846.

Contact Information

Primary practice address
3000 New Bern Ave Wakemed Raleigh NC 27610-1231
Phone: (919) 350-7846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3101 North Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3101 North Carolina
Behavioral Health & Social Service Providers / Health Service 103TH0100X 3101 North Carolina
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3101 North Carolina

Profile Details

NPI number 1225014723
LBN Legal business name Powell, Jenifer L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225014723 NPPES
North Carolina MEDICAID 6000856
North Carolina MEDICAID 6000751
North Carolina Other 046PP

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