| Doctor Name: | JOLYNN HARRELL |
| NPI Number: | 1073938007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDE |
| License Number: | 179627 |
| Business Practice Address: | 120 Health Center Dr Ahoskie, NC - 279108161 |
| Business Phone Number: | 2523323548 |
| Business Fax Number: | 2523321665 |
| Mailing Address: | Po Box 669, AHOSKIE |
| State: | NC |
| Postal Code: | 279100669 |
| Phone Number: | 2522090237 |
| Fax Number: | 2522090197 |
| NPI Enumeration Date: | 02/27/2014 |
| NPI Last Update Date: | 02/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 179627 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |