Individual
JESSICA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 400, CHARLOTTE, NC 28204-2963
(704) 446-1700
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
194456
NC
Other
Enumeration date
09/12/2007
Last updated
06/19/2019
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