Individual
MS. MARY JORDEN MCNINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5821 FAIRVIEW RD STE 106, CHARLOTTE, NC 28209-3649
(704) 826-3550
(704) 538-4135
Mailing address
5821 FAIRVIEW RD STE 106, CHARLOTTE, NC 28209-3649
(704) 826-3550
(704) 538-4135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201501
NC
363LF0000X
Family Nurse Practitioner
201501
NC
Other
Enumeration date
12/09/2007
Last updated
02/24/2022
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