Individual
JAYSHREE N RATHOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
(704) 547-9739
Mailing address
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262-9785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014205
NC
363LF0000X
Family Nurse Practitioner
F12200611
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/04/2021
Last updated
12/12/2024
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