Individual
MRS. KERLANDE AMBROISE-JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
116 WAYMAN RD, MOORESVILLE, NC 28115
(704) 204-4334
Mailing address
116 WAYMAN RD, MOORESVILLE, NC 28115
(704) 204-4334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LANDE4634
—
NC
Enumeration date
09/27/2012
Last updated
09/27/2012
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