Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaicie N Congress, FNP-C

Individual provider Family Nurse Practitioner · NPI 1497242630

Jaicie N Congress, FNP-C is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Centerwell Senior Primary Care Nc PC, a 17-clinician group. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

8727 Jw Clay Blvd
Charlotte, NC 28262-5417
Phone: (980) 999-1831
Fax: (877) 536-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5010457 (NC)

Record details

NPI number1497242630
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centerwell Senior Primary Care Nc Pc — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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