Individual
JESICA DEMUMBREUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, IBCLC
Contact information
Practice address
1977 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4527
(704) 817-8230
(704) 665-5645
Mailing address
1977 J.N. PLEASE PLACE, SUITE 202, CHARLOTTE, NC 28262
(704) 817-8230
(704) 665-5645
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017873
NC
Other
Enumeration date
05/24/2014
Last updated
09/21/2023
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