Individual
MRS. JENNIFER NICOLE KING
Active
Individual
MRS. JENNIFER NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
5014179
NC
207N00000X
Dermatology Physician
5014179
NC
363LF0000X
Family Nurse Practitioner
Primary
5014179
NC
Other
Enumeration date
03/05/2021
Last updated
08/23/2026
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