Provider Demographics
NPI:1891926259
Name:SEMONES, JEANNE ANGELA (MD)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:ANGELA
Last Name:SEMONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:SEMONES
Other - Last Name:SCHAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:500 WESTERMAN PL
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-6918
Mailing Address - Country:US
Mailing Address - Phone:919-934-0614
Mailing Address - Fax:919-934-0614
Practice Address - Street 1:500 WESTERMAN PL
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-6918
Practice Address - Country:US
Practice Address - Phone:919-934-0614
Practice Address - Fax:919-934-0614
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC296642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC82017Medicaid