Individual
JARROD ROBERT SEVEREIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-8785
Mailing address
101 SEDGEWOOD DR, ROCK HILL, SC 29732-2315
(316) 619-7322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21066
SC
Other
Enumeration date
06/08/2017
Last updated
06/18/2020
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