Individual
HANNAH JAYNE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7800 PROVIDENCE RD, STE 203, CHARLOTTE, NC 28226-2952
(704) 512-2610
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015815
NC
Other
Enumeration date
03/16/2022
Last updated
07/15/2024
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