Individual
MARY JASMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3396 CLOVERLEAF PKWY, KANNAPOLIS, NC 28083-6992
(704) 403-7740
(704) 403-7750
Mailing address
3396 CLOVERLEAF PKWY, KANNAPOLIS, NC 28083-6992
(704) 403-7740
(704) 403-7750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006631
—
NC
Enumeration date
03/06/2006
Last updated
06/18/2013
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