Individual
JENISE VICTORIA BACON MENSHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-7060
Mailing address
2020 KILDARE WOODS DR, GREENSBORO, NC 27407-6370
(404) 556-1039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104189
NC
363A00000X
Physician Assistant
4331
GA
363A00000X
Physician Assistant
PA0961
TN
Other
Enumeration date
07/19/2006
Last updated
08/10/2012
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