Individual
JENNIFER ESTHER GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12701 US 70W BUSINESS, CLAYTON, NC 27520-2195
(919) 235-1968
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043931926
—
NC
Enumeration date
09/08/2022
Last updated
04/18/2024
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