Individual
JESSICA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2248
Mailing address
2525 COURT DR, GASTONIA, NC 28054-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
227772
NC
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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