Individual
MS. JENNIFER KEY FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C, WHNP-BC
Contact information
Practice address
237 N FAYETTEVILLE ST STE A, ASHEBORO, NC 27203-5573
(336) 625-3248
(336) 625-6629
Mailing address
218 FOUST ST STE C, ASHEBORO, NC 27203-5476
(336) 625-2333
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5010761
NC
363LW0102X
Women's Health Nurse Practitioner
5010761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922585256
—
NC
Enumeration date
07/19/2018
Last updated
11/09/2022
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