Childers, Jennifer Ann

Childers, Jennifer Ann is an individual health care provider with primary practice located at 134 Medical Park Rd Ste 111 , Mooresville NC 28117-8527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Childers, Jennifer Ann can be contacted via phone (704) 801-9100.

Contact Information

Primary practice address
134 Medical Park Rd Ste 111 Mooresville NC 28117-8527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5017238 North Carolina

Profile Details

NPI number 1508575713
LBN Legal business name Childers, Jennifer Ann
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2022
Last updated Nov 16th, 2022 - about 2 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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