Individual
JADE MICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-6478
(704) 384-8220
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6478
(704) 384-8220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008808
NC
Other
Enumeration date
08/10/2016
Last updated
12/01/2022
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