Individual
JENNIFER ANN BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 381-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2025-04093
NC
2080P0203X
Pediatric Critical Care Medicine Physician
262460
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2012
Last updated
02/13/2026
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