Individual
JACKLYN MARIE HALPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
809 GREEN VALLEY RD STE 114, GREENSBORO, NC 27408-7055
(336) 708-3769
Mailing address
809 GREEN VALLEY RD STE 114, GREENSBORO, NC 27408-7055
(336) 708-3769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014839
NURSE PRACTITIONER
NC
Enumeration date
08/05/2021
Last updated
02/21/2023
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