Individual
JAZMINE WEATHERSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 MCGILL AVE NW STE D, CONCORD, NC 28025-4615
(704) 792-2242
Mailing address
202D MCGILL AVE NW, CONCORD, NC 28025-4615
(704) 792-2242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14885
NC
Other
Enumeration date
06/05/2023
Last updated
06/05/2025
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