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1366892432
WHITNEY JOLLY MOOSE
STATESVILLE, NC
NPI
1366892432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5008642)
Enumeration Date
2016-06-20
Last Update Date
2023-08-15
Business Address
WHITNEY JOLLY MOOSE FNP
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625-1953
Phone number: 704-838-8240
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Mailing Address
WHITNEY JOLLY MOOSE FNP
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-838-8240
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