Individual
JINGWEN HUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607
(919) 784-5123
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-5123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258502
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5010753
NC
Other
Enumeration date
07/17/2018
Last updated
03/24/2021
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