Jaco, Lee Ann Hartley

Jaco, Lee Ann Hartley is an individual health care provider with primary practice located at 613 E Roosevelt Blvd , Monroe NC 28112-5124. 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. Jaco, Lee Ann Hartley can be contacted via phone (704) 283-8193.

Contact Information

Primary practice address
613 E Roosevelt Blvd Monroe NC 28112-5124
Phone: (704) 283-8193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01676 North Carolina

Profile Details

NPI number 1285899658
LBN Legal business name Jaco, Lee Ann Hartley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Mar 19th, 2019 - about 5 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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