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NPI Code Detail

MEDICARE: MR. JACOB MONROE FLOWERS

MEDICARE: MR. JACOB MONROE FLOWERS
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
1364S00000XClinical Nurse Specialist623NC
2163W00000XRegistered Nurse361681NC

General Provider Information

NPI Number : 1831026483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JACOB MONROE FLOWERS
Provider Business Mailing Address
First Line : 5204 KINSBRIDGE DR
Second Line :
City : MINT HILL
State : NC
Zip : 28227-1603
Country : US
Telephone Number : 919-636-1089
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 06/02/2026

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