Individual
JENNIFER MARIE MORETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6333
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133432
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5015690
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891451589
—
NC
Enumeration date
11/16/2021
Last updated
03/23/2022
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