Individual provider · Type 1 NPI

Charlene B. Dodge, NP

Nurse Practitioner · Charlotte, NC

NPI number 1942369996 Active

Practice location

1718 E 4th St, Suite 201
Charlotte, NC 28204-3261

Fax (704) 384-0561

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner 363LX0001X800048 (NC)
Nurse Practitioner Primary 363L00000X800048 (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 1942369996

Charlene B. Dodge, NP's National Provider Identifier is 1942369996, issued on Dec 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2013.