Individual
MS. JENNIFER CLINTON VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
59 WEAVER VILLAGE WAY, WEAVERVILLE, NC 28787-9492
(284) 849-4158
(828) 484-9478
Mailing address
21 TURTLE CREEK DR, ASHEVILLE, NC 28803-3152
(828) 274-2188
(828) 274-7843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
1289
NC
225XH1200X
Hand Occupational Therapist
Primary
1289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302005
—
NC
Enumeration date
09/26/2006
Last updated
04/04/2019
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