JENNIFER FAIRCLOTH

WILMINGTON, NC
NPI1710210273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  159820)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP61525326)
Enumeration Date2009-09-15
Last Update Date2024-04-12
Business Address
Ms. JENNIFER FAIRCLOTH CRNA
2511 DELANEY AVE
WILMINGTON, NC 28403-6003
Phone number: 910-667-9328
Mailing Address
Ms. JENNIFER FAIRCLOTH CRNA
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone number: 910-615-6448