Hull, Jennifer Marie

Hull, Jennifer Marie is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. 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. Hull, Jennifer Marie can be contacted via phone (704) 295-3000.

Contact Information

Primary practice address
6035 Fairview Rd Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 295-3468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051750 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-06357 North Carolina

Profile Details

NPI number 1437154093
LBN Legal business name Hull, Jennifer Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 17th, 2017 - about 7 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 1437154093 NPPES
North Carolina Other 19HS5 BCBS
North Carolina Other NCS417A BCBS
North Carolina Other 1669926 BCBS
North Carolina Other P00170527 BCBS
North Carolina Other P01848168 BCBS
North Carolina MEDICAID 2601PA BCBS

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