Individual
MRS. JACLYN S QUALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
406 US 1 HWY STE A, YOUNGSVILLE, NC 27596-7847
(199) 679-1880
(800) 507-0902
Mailing address
406 US 1 HWY STE A, YOUNGSVILLE, NC 27596-7847
(919) 679-1880
(800) 507-0902
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
205035
NC
Other
Enumeration date
07/19/2006
Last updated
08/15/2024
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