Individual
MS. JANE BYCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1640 CAMPUS PARK DR, SUITE C, MONROE, NC 28112-5283
(704) 226-0366
(704) 226-9535
Mailing address
1300 BAXTER ST STE 215, CHARLOTTE, NC 28204-3106
(704) 332-0366
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5001136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003890
—
NC
Enumeration date
10/24/2006
Last updated
07/21/2020
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