Organization
AESTHETIC COUTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYN MARIE HALPIN DNP (CEO)
(615) 708-1450
Entity
Organization
Contact information
Practice address
809 GREEN VALLEY RD STE 114, GREENSBORO, NC 27408-7055
(376) 933-6708
Mailing address
809 GREEN VALLEY RD STE 114, GREENSBORO, NC 27408-7055
(615) 708-1450
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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