JADEN LIGHT BUGG NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1033970462- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 1935 HOLBROOK RD STE 2200, FORT MILL, SC, 297159675
- Phone
- (803) 650-4281
Specialties & Taxonomies
Nurse Practitioner
Primary License: NC #320795
Nurse Practitioner, Pediatrics
License: NC #320795
All Addresses
MAILING
PO BOX 19305
CHARLOTTE, NC, 282199305