Individual
MRS. JACQUELINE ELIZABETH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 MACK RD, ASHEBORO, NC 27205-1066
(336) 625-1172
Mailing address
100 HOMEPLACE DR, RANDLEMAN, NC 27317-9600
(336) 318-5572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013576
NC
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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