Organization
WAKE FOREST BAPTIST HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PIEPENBRINK PA-C (PHYSICIAN ASSISTANT)
(408) 656-1364
Entity
Organization
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 207-7005
(336) 832-8099
Mailing address
PO BOX 10467, 1200 N. ELM STREET, GREENSBORO, NC 27404-0467
(336) 207-7005
(336) 832-8099
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0010-04842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-04842
NORTH CAROLINA STATE MEDICAL BOARD LICENSE NUMBER
NC
Enumeration date
02/12/2014
Last updated
02/12/2014
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