Gonzales, Jennifer Lynn

Gonzales, Jennifer Lynn is an individual health care provider with primary practice located at 2700 S Providence Rd Ste 300, Waxhaw NC 28173-6313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gonzales, Jennifer Lynn can be contacted via phone (704) 243-2254.

Contact Information

Primary practice address
2700 S Providence Rd Ste 300 Waxhaw NC 28173-6313
Phone: (704) 243-2254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06647 North Carolina

Profile Details

NPI number 1407132178
LBN Legal business name Gonzales, Jennifer Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2011
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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