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Individual

JAMIE HILLIARY DAGENHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020779
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/08/2024
Last updated
10/18/2024
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