Beretsky, Jennifer S.

Beretsky, Jennifer S. is an individual health care provider with primary practice located at 2555 Court Dr Ste 450 , Gastonia NC 28054. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Beretsky, Jennifer S. can be contacted via phone (704) 671-7652.

Contact Information

Primary practice address
2555 Court Dr Ste 450 Gastonia NC 28054
Phone: (704) 671-7652
Fax: (704) 671-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5007938 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R205065 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 237317 North Carolina

Profile Details

NPI number 1164800215
LBN Legal business name Beretsky, Jennifer S.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2015
Last updated Oct 21st, 2021 - about 3 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 1164800215 NPPES
North Carolina Other 0397730007 NSC

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