Individual
JENNIFER SUSANNE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 204, KERNERSVILLE, NC 27284-7198
(336) 277-4460
(336) 992-2674
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-00780
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/21/2015
Last updated
10/25/2020
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