Individual
JAN RAPISARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
517 S SHARON AMITY RD, CHARLOTTE, NC 28211-2975
(704) 384-8800
(704) 384-8819
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
300180
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
300180
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005871
—
NC
Enumeration date
09/20/2005
Last updated
10/25/2020
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