Individual
MRS. JENNIFER ALICIA MYERS-CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
950 REYNOLDS BLVD, WINSTON SALEM, NC 27105-3450
(808) 633-6070
(336) 232-9683
Mailing address
352 MCCLAMROCK RD, MOCKSVILLE, NC 27028-4257
(808) 633-6070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
227051
NC
Other
Enumeration date
08/07/2018
Last updated
12/10/2024
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