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Organization
STAYWELL, INC
Active
Organization
STAYWELL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M KENNEDY FNP-C (NURSE PRACTITIONER)
(828) 329-8897
Entity
Organization
Contact information
Practice address
580 UPWARD RD, SUITE ONE, FLAT ROCK, NC 28731-8592
(828) 329-8897
(828) 696-0956
Mailing address
580 UPWARD ROAD, SUITE ONE, FLAT ROCK, NC 28731
(828) 329-8897
(828) 696-0956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201589
NC
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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