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Individual

MRS. JENNIFER CHARLESWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
610 N FAYETTEVILLE ST, SUITE 111, ASHEBORO, NC 27203-4670
(336) 625-0500
(336) 625-0509
Mailing address
610 N FAYETTEVILLE ST, SUITE 111, ASHEBORO, NC 27203-4670
(336) 625-0500
(336) 625-0509

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201755
NC

Other

Enumeration date
04/04/2007
Last updated
09/28/2011
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