Individual
JOAN S. SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
270 COPPERFIELD BLVD NE, SUITE 102, CONCORD, NC 28025-2441
(704) 786-6521
(704) 782-9703
Mailing address
PO BOX 71061, CHARLOTTE, NC 28272-1061
(704) 786-6521
(704) 782-9703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-02512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003882
—
NC
Enumeration date
01/09/2007
Last updated
05/09/2008
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