Individual provider · Type 1 NPI
Jaclyn M. Mieczkowski, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1265866990
Active
Practice location
1350 S Kings Dr
Charlotte, NC 28207-2134
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice locations
- 1225 Harding Pl, Ste 3100, Charlotte, NC 28204-2826 · (704) 355-8686
- 101 E W T Harris Blvd, Ste 5500, Charlotte, NC 28262-3485 · (704) 863-6160
- 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 · (980) 442-2000
- 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204-2990 · (980) 442-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5006412 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5006412 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265866990
Jaclyn M. Mieczkowski, FNP's National Provider Identifier is 1265866990, issued on Aug 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.