Individual
JENNIFER DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
823 JEFFERSON ST, WHITEVILLE, NC 28472-3703
(910) 642-6121
Mailing address
823 JEFFERSON ST, WHITEVILLE, NC 28472-3703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008806
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
238751
NC
Other
Enumeration date
08/10/2016
Last updated
01/17/2020
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