Individual
JAIMIE LEIGH MANKILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1122 RANDOLPH ST STE 110, THOMASVILLE, NC 27360-5730
(336) 481-0739
(336) 481-0738
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
(336) 481-0739
(336) 481-0738
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015833
NC
363LF0000X
Family Nurse Practitioner
Primary
5015833
NC
Other
Enumeration date
02/22/2022
Last updated
10/16/2025
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