Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 5015733 | NC |
NPI | 1013661339 |
---|---|
Provider Name | Jennifer Jones Markland |
First Address | Advance, NC 27006-7546 |
Second Address | Winston Salem, NC 27103-5766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2022 |
Last Update Date | 06/02/2022 |