Individual
JENNIFER HARTSELL ALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S SALISBURY GQ AVE, SALISBURY, NC 28146-8150
(704) 279-1679
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1000788
NC
363AM0700X
Medical Physician Assistant
0010-00788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101545
—
NC
01
—
P00778784
RAILROAD MEDICARE
NC
Enumeration date
01/23/2007
Last updated
09/20/2023
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