Individual
JENNIFER ELAINE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
77 MCDOWELL ST, ASHEVILLE, NC 28801-4435
(828) 257-4745
Mailing address
PO BOX 100181, COLUMBIA, SC 29202-3141
(828) 202-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04979
NC
363A00000X
Physician Assistant
0110005500
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188D6
BCBS OF NC
NC
01
—
P01373818
RR MEDICARE
NC
Enumeration date
05/21/2014
Last updated
02/12/2024
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