Individual
JENNIFER HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5576 GREENVILLE HWY, ZIRCONIA, NC 28790-4000
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
366656
NC
Other
Enumeration date
08/02/2024
Last updated
08/23/2024
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