Individual
JENNIFER WEST ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY, MOORESVILLE, NC 28117-8526
(704) 801-9100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02136
NC
Other
Enumeration date
02/12/2010
Last updated
09/25/2025
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