Individual
MRS. JACQUELYN DWELLE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
400 E STATESVILLE AVE STE 200, MOORESVILLE, NC 28115-2588
(704) 360-8486
(704) 230-4674
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 865-3848
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012332
NC
Other
Enumeration date
10/01/2019
Last updated
10/29/2024
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