Individual
JESSICA BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2015 RANDOLPH RD STE 208, CHARLOTTE, NC 28207-1200
(704) 377-4009
(704) 377-7406
Mailing address
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078-7948
(704) 377-4009
(704) 602-6563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07768
NC
Other
Enumeration date
04/30/2018
Last updated
04/12/2022
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