Individual
JAZMINE SYMONE FOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCCPSS
Contact information
Practice address
8837 MICHAW CT, CHARLOTTE, NC 28269-1485
(757) 274-6658
Mailing address
8837 MICHAW CT, CHARLOTTE, NC 28269-1485
(757) 274-6658
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20261138701
NC
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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