Individual
JESSICA NICOLE CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
(336) 842-6984
Mailing address
4948 US HIGHWAY 220 N, SUMMERFIELD, NC 27358-9701
(210) 753-5075
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
89826
NC
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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