Individual
MRS. JACKIE SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2565 RAVENHILL DR STE 2C, FAYETTEVILLE, NC 28303-5414
(910) 864-1799
Mailing address
1822 ELLIE AVE, FAYETTEVILLE, NC 28314-8526
(910) 309-0866
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021102013
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016089
NC
Other
Enumeration date
01/26/2022
Last updated
07/09/2025
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