Individual
MS. JENNIFER ANN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
134 MEDICAL PARK RD STE 111, MOORESVILLE, NC 28117-8527
(704) 801-9100
Mailing address
147 LINWOOD RD, MOORESVILLE, NC 28115-2369
(704) 658-6048
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5017238
NC
Other
Enumeration date
11/16/2022
Last updated
08/05/2024
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