MS. JENNIFER ANN THURMAN PA-C NPI 1215207667

NPI Information

NPI: 1215207667
Provider Name: MS. JENNIFER ANN THURMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
14214 BALLANTYNE LAKE RD
SUITE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 667-2650
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MS. Jennifer Ann Thurman, PA-C is a medical physician assistant in Charlotte, NC. MS. Jennifer Ann Thurman, PA-C NPI is 1215207667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14214 BALLANTYNE LAKE RD
SUITE 100
CHARLOTTE, NC
ZIP 28277-372
Phone: (704) 667-2650
Fax: (704) 544-0172

The enumeration date for this NPI number is 1/3/2012 and was last updated on 6/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2064	OKLAHOMA	No
2	363AM0700X	Physician Assistant	Medical	0010-03561	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8102627	MEDICAID	NORTH CAROLINA
2	NC8711A	MEDICARE PIN	NORTH CAROLINA
3	NC8711I	MEDICARE PIN	NORTH CAROLINA
4	NC8711E	MEDICARE PIN	NORTH CAROLINA
5	1215207667	MEDICAID	NORTH CAROLINA
6	NC8711J	MEDICARE PIN	NORTH CAROLINA
7	NC8711K	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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