MEDICARE: JENNIFER PIERRE FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2023129294	NC

General Provider Information

NPI Number	:	1306682927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER PIERRE FNP

Provider Business Mailing Address
First Line	:	8726 DARCY HOPKINS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0285
Country	:	US
Telephone Number	:	757-376-3930
Fax Number	:

Provider Business Practice Location Address
First Line	:	8680 RACHEL FREEMAN WAY
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-9567
Country	:	US
Telephone Number	:	980-890-7788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/03/2024

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