Individual
JENNIFER LYNN PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
152 SHERLOCK DR, STATESVILLE, NC 28625
(704) 838-8210
(704) 924-5359
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 663-2085
(704) 663-2178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04087
NC
363AM0700X
Medical Physician Assistant
0010-04087
NC
Other
Enumeration date
02/12/2013
Last updated
03/07/2023
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