person
Jennifer Leigh Kormelink, PA-C
Medical Physician Assistant in Charlotte, North Carolina
NPI 1154626869

Jennifer Leigh Kormelink is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Jennifer Leigh Kormelink practices in Charlotte, NC and has the professional credentials of PA-C. The NPI Number for Jennifer Leigh Kormelink is 1154626869 and holds a License No. 0010-03636 (North Carolina).

The current practice location address for Jennifer Leigh Kormelink is 501 S Sharon Amity Rd, Charlotte, NC and can be reached out via phone at 704-377-2424 and via fax at 704-377-2687.

Location: 501 S Sharon Amity Rd, Charlotte, NC, 28211-0035
person
Provider Profile Details
NPI Number
1154626869
Provider Name
Jennifer Leigh Kormelink
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
501 S Sharon Amity Rd, Charlotte, NC, 28211-0035
Phone Number
704-377-2424
Fax Number
704-377-2687
Provider Enumeration Date
01/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154626869 05 NC
NC8494A 01 NC NC MEDICARE
institution
Provider Business Practice Location Address Details
Address
501 S Sharon Amity Rd
City
State
Zip
28211-0035
Phone Number
704-377-2424
Fax Number
704-377-2687
person
Provider Business Mailing Address Details
Address
501 S Sharon Amity Rd
City
State
Zip
28211-0035
Phone Number
704-377-2424
Fax Number
704-377-2687
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0010-03636 (North Carolina)
Definition
Definition to come...
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