Organization
CAROLINAS HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA R STOVER AGNP-C (NURSE PRACTITIONER)
(704) 923-2028
Entity
Organization
Contact information
Practice address
4525 CAMERON VALLEY PKWY, SUITE 3100, CHARLOTTE, NC 28211-4369
(704) 302-8310
Mailing address
1311 CORTON DR, APARTMENT L, CHARLOTTE, NC 28203-6090
(704) 923-2028
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5008798
NC
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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