Provider Demographics
NPI:1104030022
Name:FEELY, MARJORIE ANN (RN)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:ANN
Last Name:FEELY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:SEELEY
Other - Last Name:FEELY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:891 LYNCHBURG DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6018
Mailing Address - Country:US
Mailing Address - Phone:910-346-8123
Mailing Address - Fax:
Practice Address - Street 1:891 LYNCHBURG DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6018
Practice Address - Country:US
Practice Address - Phone:910-346-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN515833L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse