Individual
JENNIFER L MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3506 W TYVOLA RD, CHARLOTTE, NC 28208-7201
(704) 884-1986
Mailing address
113 BOTTOM RD, KINGS MOUNTAIN, NC 28086-8423
(704) 884-1986
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5021855
NC
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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