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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATEE JACKSON DWANAH

Active Sole Proprietor

MATEE JACKSON DWANAH is a Registered Nurse healthcare provider located in CHARLOTTE, North Carolina. NPI 1588378004 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · CHARLOTTE, NC

Registration Details

NPI Number
1588378004
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2023 (3.6333429532591 yrs)
Last Updated
Jan 9, 2023
License
310139 (NC)
Sole Proprietor
Yes

Practice Information

Address
10206 LEGOLAS LN
CHARLOTTE, NC, 282697037
Browse NC providers · Browse ZIP 28269
Phone
7322086596
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in CHARLOTTE, NC

Name Credential NPI
MS. JACQUELINE RUTH STAMPS R.N. 1477674802
MS. SARAH MCLEAN PHD, RN, MDIV, MAPT 1093901514
LISA MCCONNELL RN 1194961722
IFEOMA ONYIA RN 1154555464
MR. WILLIAM HENRY STANLEY JR. RN 1417188467
MRS. LISA MATHLEY SCHLOEDER RN 1326373168
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.