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NPI Code Detail

MEDICARE: JAMESHA MCNEILL

MEDICARE: JAMESHA MCNEILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1689541948
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESHA MCNEILL
Provider Business Mailing Address
First Line : 1000 PARKVIEW DR APT P7
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-7961
Country : US
Telephone Number : 855-832-6767
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 6985 NEXUS CT STE 107
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3186
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 01/14/2026

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