MEDICARE: JONITA MARIE NEWKIRT NP

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	363L00000X	Nurse Practitioner	5015516	NC
2	363LF0000X	Family Nurse Practitioner	5015516	NC

General Provider Information

NPI Number	:	1932867405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONITA MARIE NEWKIRT NP

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	980-302-9800
Fax Number	:	980-302-9810

Provider Business Practice Location Address
First Line	:	416 E 36TH ST STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-1030
Country	:	US
Telephone Number	:	980-302-9800
Fax Number	:	980-302-9810

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

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	01/20/2026

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