Individual
JENNIFER CASTRO-PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3609 JOEL TURNER DR, CHARLOTTE, NC 28216-7635
(904) 226-3362
Mailing address
3609 JOEL TURNER DR, CHARLOTTE, NC 28216-7635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245250
NC
163W00000X
Registered Nurse
9316225
FL
163WH0200X
Home Health Registered Nurse
245250
NC
163WP0200X
Pediatric Registered Nurse
Primary
245250
NC
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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