Jennifer Guillaume, BSN, RN

NPI 1881546240 · on the registry since 2026 · sole proprietor

Practice

Address: 5126 Park Rd Ste 2c
Charlotte, NC 28209
Phone: (704) 247-7281
Fax: (704) 800-5655
Organisation at this address: Liquid Lounge Hydration Dba Ideal Vitality Wellness
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 163WC1500X
163WC1500X
Also registered as: 163W00000X
174H00000X
246QL0900X
246Z00000X
Licence states on file: SC, NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina