NPI 1053702076

Jennifer Louise Percival

Practitioner Nurse Practitioner Shallotte, NC

Practice location

Address: 5145 Sellers Rd, Shallotte, NC 28470-3405
Phone: (910) 754-4441
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 275979 (NC)

Other Nurse Practitioner providers in North Carolina →

Registry record

NPI: 1053702076
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2015
Record last updated: 5 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.