Individual
MRS. JENNIFER P DEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1994 WELLNESS BLVD, SUITE 110, MONROE, NC 28110-7768
(704) 384-8460
(704) 384-8465
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006260
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
157484
NC
Other
Enumeration date
03/23/2011
Last updated
10/25/2020
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