Individual
JENNIFER LOUISE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607
(919) 428-1064
Mailing address
7816 MAYFAIRE CREST LN APT 205, RALEIGH, NC 27615-4871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010724
NC
363LF0000X
Family Nurse Practitioner
Primary
5010724
NC
Other
Enumeration date
07/05/2018
Last updated
03/31/2021
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