Individual
JEANANN VAWTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
924 COX ROAD, GASTONIA, NC 28054
(704) 869-0075
(704) 869-8875
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
147845
NC
Other
Enumeration date
06/13/2006
Last updated
03/31/2015
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