Individual
JENNIFER FRANCES NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1315
Mailing address
104 BERGERON WAY, CARY, NC 27519-6669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001014128
NC
Other
Enumeration date
04/02/2024
Last updated
08/20/2025
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