Provider Demographics
NPI:1841489374
Name:HAIGH, JONELLE ULEP (DO)
Entity type:Individual
Prefix:
First Name:JONELLE
Middle Name:ULEP
Last Name:HAIGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JONELLE
Other - Middle Name:C
Other - Last Name:ULEP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:159 EXECUTIVE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4160
Mailing Address - Country:US
Mailing Address - Phone:434-791-2629
Mailing Address - Fax:
Practice Address - Street 1:4810 S CROATAN HWY STE 100
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8504
Practice Address - Country:US
Practice Address - Phone:252-261-4885
Practice Address - Fax:252-441-2641
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00323207VX0000X
VA0102202816207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1841489374Medicaid