Bacon Menshew, Jenise Victoria

Bacon Menshew, Jenise Victoria is an individual health care provider with primary practice located at 1240 Huffman Mill Rd , Burlington NC 27215-8700. 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. Bacon Menshew, Jenise Victoria can be contacted via phone (336) 538-7060.

Contact Information

Primary practice address
1240 Huffman Mill Rd Burlington NC 27215-8700
Phone: (336) 538-7060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0961 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4331 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 104189 North Carolina

Profile Details

NPI number 1376563924
LBN Legal business name Bacon Menshew, Jenise Victoria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 10th, 2012 - about 12 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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