Individual
JENNIFER KING-FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 845-7751
Mailing address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 845-7751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161052
RN
NC
Enumeration date
06/17/2010
Last updated
06/17/2010
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