Individual
JENNIFER LYNN PETRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12701 US HIGHWAY 70W BUSINESS, CLAYTON, NC 27520-2195
(919) 235-1968
(919) 235-1307
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(877) 498-4490
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11308
NC
363AM0700X
Medical Physician Assistant
Primary
0010-11308
NC
Other
Enumeration date
10/01/2021
Last updated
02/20/2024
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