Individual provider · Type 1 NPI

Jennifer Louise Percival

Nurse Practitioner · Shallotte, NC

NPI number 1053702076 Active

Practice location

5145 Sellers Rd
Shallotte, NC 28470-3405

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X275979 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053702076

Jennifer Louise Percival's National Provider Identifier is 1053702076, issued on Feb 12, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shallotte, NC. The record was last updated on Aug 5, 2024.