Jurcenko, Madison Lynn

Jurcenko, Madison Lynn is an individual health care provider with primary practice located at 11840 Southmore Dr Ste 100 , Charlotte NC 28277-4821. 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. Jurcenko, Madison Lynn can be contacted via phone (980) 308-0169.

Contact Information

Primary practice address
11840 Southmore Dr Ste 100 Charlotte NC 28277-4821
Phone: (980) 308-0169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 025682 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12531 North Carolina

Profile Details

NPI number 1629685326
LBN Legal business name Jurcenko, Madison Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2020
Last updated Jun 23rd, 2023 - 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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