Individual
JANESE AGNEW TRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
915 TATE BLVD SE STE 170, HICKORY, NC 28602-4012
(828) 345-0800
(828) 345-0350
Mailing address
915 TATE BLVD SE STE 170, HICKORY, NC 28602-4012
(828) 345-0800
(828) 345-0350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0050-00714
NC
363LF0000X
Family Nurse Practitioner
Primary
0050-00714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003746
—
NC
Enumeration date
08/17/2006
Last updated
05/21/2008
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