Individual
JASMINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Mailing address
205 RUMLEY LN UNIT F, STATESVILLE, NC 28625-4200
(704) 437-4502
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
264042
NC
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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