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Individual

JENNIFER CRYSTAL KLEEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1351 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 718-7777
(336) 718-7744
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011919
NC

Other

Enumeration date
06/21/2019
Last updated
12/23/2021
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