Individual
MICHELLE NUR JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13835 BOREN ST, HUNTERSVILLE, NC 28078-6476
(704) 912-2222
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 375-0100
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010271
NC
363LF0000X
Family Nurse Practitioner
Primary
5010271
NC
Other
Enumeration date
02/11/2018
Last updated
04/22/2026
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