Individual
JESSICA WHITE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1900
Mailing address
4400 GOLF ACRES DR, CHARLOTTE, NC 28208-5968
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102452
SC
Other
Enumeration date
01/16/2013
Last updated
09/09/2025
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