Terrell, Jennifer S

Terrell, Jennifer S is an individual health care provider with primary practice located at 8800 N Tryon St , Charlotte NC 28262-3300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Terrell, Jennifer S can be contacted via phone (704) 376-7362.

Contact Information

Primary practice address
8800 N Tryon St Charlotte NC 28262-3300
Phone: (704) 376-7362
Fax: (704) 376-1939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 200100862 North Carolina

Profile Details

NPI number 1679552186
LBN Legal business name Terrell, Jennifer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 15th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679552186 NPPES
North Carolina MEDICAID 891295X
North Carolina MEDICAID Q0086G

Popular Providers