Healthcare Provider Details

I. General information

NPI: 1851098123
Provider Name (Legal Business Name): ANGELA NICOLE JENNINGS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA MORRISON

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 HARDEN ST
BURLINGTON NC
27215-7516
US

IV. Provider business mailing address

378 HARDEN ST
BURLINGTON NC
27215-7516
US

V. Phone/Fax

Practice location:
  • Phone: 336-698-3500
  • Fax: 336-698-3814
Mailing address:
  • Phone: 336-698-3500
  • Fax: 336-698-3814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5018743
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number296818
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: