Individual
JASMINE MARYBELLE ZUCHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7940 WILLIAMS POND LN STE 100, CHARLOTTE, NC 28277-8410
(704) 752-7779
Mailing address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
301676
NC
363LF0000X
Family Nurse Practitioner
Primary
5017105
NC
Other
Enumeration date
01/30/2021
Last updated
11/28/2022
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