Individual
MRS. JACQUELINE ANNETTE SROKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1242
(704) 446-1241
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-1242
(704) 446-1241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204903
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005234
—
NC
05
—
NP1574
—
SC
Enumeration date
11/30/2009
Last updated
05/07/2012
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