Individual
JESSICA SWINK FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
268 GILLMAN RD STE A, DENVER, NC 28037-7925
(704) 659-7830
(877) 881-8455
Mailing address
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078-6541
(704) 947-5005
(877) 881-8455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08139
NC
Other
Enumeration date
06/15/2018
Last updated
06/14/2023
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