Individual
JALESA DENISE VENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4611
(252) 744-3201
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
01/21/2020
Last updated
03/11/2024
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