Individual
JENNIFER J MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8401 UNIVERSITY EXEC PARK DR STE 130, CHARLOTTE, NC 28262-4358
(704) 316-2016
(704) 316-2017
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011311
NC
363LF0000X
Family Nurse Practitioner
5011311
NC
Other
Enumeration date
01/01/2019
Last updated
08/19/2021
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