Individual
JENNIFER KATHERINE GONDA COURSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
214004
NC
Other
Enumeration date
01/03/2014
Last updated
10/28/2020
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