Individual
JENNIFER DAWN ELEEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1918 RANDOLPH RD STE 400, CHARLOTTE, NC 28207-1196
(704) 384-9437
(704) 384-9440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
269057
NC
363L00000X
Nurse Practitioner
Primary
5012890
NC
363LF0000X
Family Nurse Practitioner
5012890
NC
Other
Enumeration date
02/19/2020
Last updated
08/05/2025
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