Individual
JENNIFER RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
18 DOCTORS CIRCLE SW, SUPPLY, NC 28462-1101
(910) 754-6141
Mailing address
18 DOCTORS CIR STE 2&3, SUPPLY, NC 28462-1101
(910) 754-6141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153681
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5013325
NC
Other
Enumeration date
07/17/2020
Last updated
02/05/2021
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