Individual
MS. JENNA NICOLE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3545 WHITEHALL PARK DR STE 300, CHARLOTTE, NC 28273-4179
(980) 302-8850
(704) 316-8118
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
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
09/12/2023
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