Individual
MRS. JACKIE ANN WISZCZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12305 MCCORD RD, HUNTERSVILLE, NC 28078-7299
(910) 553-8494
(931) 202-8226
Mailing address
12305 MCCORD RD, HUNTERSVILLE, NC 28078-7299
(910) 553-8494
(931) 202-8226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020267
NC
363LF0000X
Family Nurse Practitioner
SP014113
PA
Other
Enumeration date
01/03/2015
Last updated
05/13/2025
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