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Individual

JENNIFER GUILLAUME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
5126 PARK RD STE 2C, CHARLOTTE, NC 28209-3748
(704) 247-7281
(704) 800-5655
Mailing address
5126 PARK RD STE 2C, CHARLOTTE, NC 28209-3748
(704) 247-7281
(704) 800-5655

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
244499
SC
163WC1500X
Community Health Registered Nurse
Primary
244499
SC
174H00000X
Health Educator
244499
SC
246QL0900X
Laboratory Management Specialist/Technologist
NC
246Z00000X
Other Specialist/Technologist
244499
SC

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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