Individual
JEANNE CAMERON GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, APRN
Contact information
Practice address
504 HUNTINGTON RD, GREENVILLE, SC 29615-4212
(864) 412-0447
Mailing address
PO BOX 896129, CHARLOTTE, NC 28289-6129
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SC APRN 18198
SC
Other
Enumeration date
06/12/2013
Last updated
04/09/2014
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