Individual
JENNIFER MEWSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 MACON POND RD, RALEIGH, NC 27607-6319
(919) 785-4853
Mailing address
4101 MACON POND RD, RALEIGH, NC 27607-6319
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
243285
NC
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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