MEDICARE: MRS. SOLANGE RAEJHON-DOLDRON BURTON FNP-C

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	F06231893	NC
2	363L00000X	Nurse Practitioner	5018586	NC

General Provider Information

NPI Number	:	1396421855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SOLANGE RAEJHON-DOLDRON BURTON FNP-C

Provider Business Mailing Address
First Line	:	7006 SHANNON WILLOW RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7006 SHANNON WILLOW RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-1318
Country	:	US
Telephone Number	:	980-960-0526
Fax Number	:	980-207-1386

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

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	07/01/2025

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