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JENNY KATHLEEN GOBER MCDANIEL MD NPI 1922395649


NPI Information

NPI: 1922395649
Provider Name: JENNY KATHLEEN GOBER MCDANIEL, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: THE PRESBYTERIAN HOSPITAL

PECOS Registration: Yes

Address:
301 HAWTHORNE LN STE 100
CHARLOTTE, NC
ZIP 28204
Phone: (704) 384-1900
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Jenny Kathleen Gober Mcdaniel, MD is a pediatrics in Charlotte, NC with 13 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jenny Kathleen Gober Mcdaniel, MD NPI is 1922395649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

301 HAWTHORNE LN STE 100
CHARLOTTE, NC
ZIP 28204-467
Phone: (704) 384-1900

The NPI 1922395649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 10/26/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2017-01884NORTH CAROLINAYes
2208000000XPediatricsLL33830SOUTH CAROLINANo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.