Jessica Marie Bland PA-C

NPI 1053660613 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053660613
Gender Female
Enumeration Date 08/29/2012
Last Updated 08/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6404 ALBERMARLE RD
SUITE J&K
CHARLOTTE NC, 28212, US
Phone (704) 532-8884
Fax (704) 532-8789
Business Location
6404 ALBERMARLE RD
SUITE J&K
CHARLOTTE NC, 28212, US
Phone (704) 532-8884
Fax (704) 532-8789
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 0010-03704
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According to our database, Ms. Jessica Marie Bland PA-C NPI is 1053660613, taxonomy code is 363AM0700X and license number is 0010-03704, license state is located at North Carolina. Jessica Marie Bland PA-C physically located at 6404 Albermarle Rd, Charlotte NC, 28212. NPI Number Jessica Marie Bland PA-C has the Individual type.

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1053660613 NPI number is provided on an as is basis without warranty of any kind. 1053660613 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Marie Bland PA-C are for informational purposes only.