Individual
MS. JHEANELL CHARLES
Active
Individual
MS. JHEANELL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015220
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00432700
NJ
Other
Enumeration date
10/17/2011
Last updated
03/08/2023
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