Individual
JACQUELINE ANN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 403-2662
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11668
NC
Other
Enumeration date
07/30/2021
Last updated
07/27/2024
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