Individual provider · Type 1 NPI

Jennifer Fuqua, PA-C

Medical Physician Assistant · Winston Salem, NC

NPI number 1205850591 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-3208

Fax (336) 716-0567

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X102054 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1205850591

Jennifer Fuqua, PA-C's National Provider Identifier is 1205850591, issued on Jul 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 15, 2021.