Beard, Jennifer Lynn

Beard, Jennifer Lynn is an individual health care provider with primary practice located at 141 Rosewood Centre Drive Suite 125, Holly Springs NC 27540-4162. 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. Beard, Jennifer Lynn can be contacted via phone (919) 228-2421.

Contact Information

Primary practice address
141 Rosewood Centre Drive Suite 125 Holly Springs NC 27540-4162
Phone: (919) 228-2421
Fax: (919) 228-2422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06372 North Carolina

Profile Details

NPI number 1174977185
LBN Legal business name Beard, Jennifer Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2016
Last updated Sep 5th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174977185 NPPES
North Carolina MEDICAID 1174977185

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