Provider Demographics
NPI:1649291709
Name:FRIEDEL, JENA J (DC)
Entity type:Individual
Prefix:DR
First Name:JENA
Middle Name:J
Last Name:FRIEDEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 MILLSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8778
Mailing Address - Country:US
Mailing Address - Phone:919-643-2273
Mailing Address - Fax:919-643-2272
Practice Address - Street 1:410 MILLSTONE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8778
Practice Address - Country:US
Practice Address - Phone:919-643-2273
Practice Address - Fax:919-643-2272
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085NHOtherBCBS
NC085NHOtherBCBS
NC89085NHMedicaid