Individual
MRS. JENNY ANNE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
11635 N MAIN ST, SUITE E, ARCHDALE, NC 27263-3270
(336) 861-4110
Mailing address
5986 HOLLOW WOOD CT, WINSTON SALEM, NC 27104-3771
(336) 972-3830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222777
NC
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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