Individual
JADA MCGIRT BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
512 VILLAGE RD STE 205, SHALLOTTE, NC 28470-3409
(910) 754-4441
(910) 754-5307
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017556
NC
Other
Enumeration date
02/08/2023
Last updated
02/13/2024
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