Organization
JEMASSIE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHENITA RENEA COLSON BSN, MBA/MHA, CCM, (FOUNDER/PRESIDENT)
(704) 399-3555
Entity
Organization
Contact information
Practice address
1942 PHEASANT GLEN RD, CHARLOTTE, NC 28214-8209
(704) 399-3555
Mailing address
PO BOX 681421, CHARLOTTE, NC 28216-0025
(704) 399-3555
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
194810
NC
163WC0400X
Case Management Registered Nurse
194810
NC
163WC1500X
Community Health Registered Nurse
194810
NC
163WH0200X
Home Health Registered Nurse
194810
NC
163WH0500X
Hemodialysis Registered Nurse
194810
NC
251B00000X
Case Management Agency
194810
NC
251E00000X
Home Health Agency
194810
NC
251J00000X
Nursing Care Agency
194810
NC
251S00000X
Community/Behavioral Health Agency
194810
NC
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
194810
NC
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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