Kowaleski, Jennie L

Kowaleski, Jennie L is an individual health care provider with primary practice located at 3100 Blue Ridge Rd Ste. 103, Raleigh NC 27612-8036. 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. Kowaleski, Jennie L can be contacted via phone (919) 719-2250.

Contact Information

Primary practice address
3100 Blue Ridge Rd Ste. 103 Raleigh NC 27612-8036
Phone: (919) 719-2250
Fax: (919) 719-2248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103546 North Carolina

Profile Details

NPI number 1982675260
LBN Legal business name Kowaleski, Jennie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 28th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982675260 NPPES
North Carolina Other 103546 LICENSE

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