Michalak, Jessica Fowler

Michalak, Jessica Fowler is an individual health care provider with primary practice located at 125 Queens Rd Ste 520 , Charlotte NC 28204-3512. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Michalak, Jessica Fowler can be contacted via phone (980) 302-6500.

Contact Information

Primary practice address
125 Queens Rd Ste 520 Charlotte NC 28204-3512
Phone: (980) 302-6500
Fax: (980) 302-6505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-05219 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0010-05219 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05219 North Carolina

Profile Details

NPI number 1588060412
LBN Legal business name Michalak, Jessica Fowler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2014
Last updated Apr 23rd, 2025 - about last year

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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