Individual
DONNA YATES JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 627-8517
Mailing address
117 E KINGS HWY, EDEN, NC 27288-5201
(336) 623-9711
(336) 627-8517
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-00264
NC
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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