| Doctor Name: | JENTRY ELLON NAYLOR |
| NPI Number: | 1033278163 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 109700 |
| Business Practice Address: | 2809 Mclamb Pl Goldsboro, NC - 275341647 |
| Business Phone Number: | 9195809840 |
| Business Fax Number: | 9195809838 |
| Mailing Address: | 233 Straw Pond School Rd, NEWTON GROVE |
| State: | NC |
| Postal Code: | 283666777 |
| Phone Number: | 9105672709 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 06/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 109700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |