Chimera, Jennifer

Chimera, Jennifer is an sole proprietor health care provider with primary practice located at 1142 N Broome St , Waxhaw NC 28173-9378. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chimera, Jennifer can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
1142 N Broome St Waxhaw NC 28173-9378
Phone: (866) 389-2727
Fax: (401) 652-9787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5006303 North Carolina

Profile Details

NPI number 1104268663
LBN Legal business name Chimera, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2013
Last updated May 17th, 2022 - 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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