Individual
JENNIFER SOBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
(609) 288-6078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05817
NC
363A00000X
Physician Assistant
017426-1
NY
363A00000X
Physician Assistant
Primary
25MP00332100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801293121
—
NC
Enumeration date
12/02/2014
Last updated
05/03/2019
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