Individual
MRS. SUSAN HEATHER JERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3049 SENNA DR, MATTHEWS, NC 28105-6727
(980) 339-5155
(980) 216-8522
Mailing address
3049 SENNA DR, MATTHEWS, NC 28105-6727
(980) 339-5155
(980) 216-8522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
89912
NC
Other
Enumeration date
03/02/2020
Last updated
11/30/2020
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