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Individual

MS. JENNA NICOLE GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1235 EAST BLVD STE E, CHARLOTTE, NC 28203-5876
(704) 218-9078
(484) 341-6959
Mailing address
1235 EAST BLVD STE E, CHARLOTTE, NC 28203-5876
(484) 341-6959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07698
NC
363AM0700X
Medical Physician Assistant
PA9108888
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9108888
FLORIDA
FL
Enumeration date
09/22/2015
Last updated
06/23/2026
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