Individual
JENNA KOENIGSHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 540-7067
Mailing address
3803 N ELM ST, GREENSBORO, NC 27455-2593
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5009138
NC
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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