Individual
JAKITA CHARELLE STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1896 REMOUNT RD, GASTONIA, NC 28054-7414
(704) 512-3930
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013735
NC
363LF0000X
Family Nurse Practitioner
Primary
5013735
NC
363LP0200X
Pediatric Nurse Practitioner
5013735
NC
363LP2300X
Primary Care Nurse Practitioner
5013735
NC
Other
Enumeration date
08/03/2020
Last updated
07/15/2024
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