JACKIE SHORTER

FAYETTEVILLE, NC
NPI1457003865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5016089)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  2021102013)
Enumeration Date2022-01-26
Last Update Date2025-07-09
Business Address
Mrs. JACKIE SHORTER PMHNP-BC
2565 RAVENHILL DR STE 2C
FAYETTEVILLE, NC 28303-5414
Phone number: 910-864-1799
Mailing Address
Mrs. JACKIE SHORTER PMHNP-BC
1822 ELLIE AVE
FAYETTEVILLE, NC 28314-8526
Phone number: 910-309-0866