Atwater, Jennifer Elizabeth

Atwater, Jennifer Elizabeth is an individual health care provider with primary practice located at 431 N Judd Pkwy Ne , Fuquay Varina NC 27526-2374. 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. Atwater, Jennifer Elizabeth can be contacted via phone (919) 552-2292.

Contact Information

Primary practice address
431 N Judd Pkwy Ne Fuquay Varina NC 27526-2374
Phone: (919) 552-2292
Fax: (919) 557-7668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001001108 North Carolina

Profile Details

NPI number 1568642874
LBN Legal business name Atwater, Jennifer Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Mar 25th, 2010 - about 15 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 1568642874 NPPES
North Carolina Other 001001108 NC MEDICAL BOARD

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