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Contact Information

JACQUELINE F MAWONEKE, NP
1100 E WENDOVER AVE
GREENSBORO, NC27405-6713
 Phone: 336-641-6124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE F MAWONEKE · (Female)

NPI Number 1114457314
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/20/2017
Last updated 03/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD License # NC5009506
  • NC License # 5009596
Hospital affiliation(s)
  • RANDOLPH HOSPITAL - (Acute Care)
    364 WHITE OAK STREET
    ASHEBORO, NC 27204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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