Individual
JENNA ROSE SACKENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10030 GILEAD RD, HUNTERSVILLE, NC 28078-7545
(704) 316-4000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 638-0336
(704) 638-0374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08234
NC
Other
Enumeration date
07/18/2018
Last updated
05/03/2023
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