Individual
SAMANTHA DAWN JEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-5185
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023000
NC
Other
Enumeration date
06/17/2025
Last updated
09/04/2025
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