Individual
JENNIFER MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10188 N MAIN ST, ARCHDALE, NC 27263-2906
(336) 802-2070
(336) 802-2071
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017479
NC
363LF0000X
Family Nurse Practitioner
F10220138
NC
Other
Enumeration date
01/10/2023
Last updated
04/15/2024
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