Individual
JANE S FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 BEATTIES FORD RD, CHARLOTTE, NC 28216-3711
(704) 336-6500
(704) 336-4806
Mailing address
4420 SOLEMN POINT LN, CHARLOTTE, NC 28216-8505
(704) 576-7901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200360
NC
Other
Enumeration date
02/26/2007
Last updated
07/27/2011
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