Individual provider · Type 1 NPI

Jessica Marjorie Phifer

Prosthetic/Orthotic Supplier · Charlotte, NC

NPI number 1265907000 Active

Practice location

4911 Rockwood Rd
Charlotte, NC 28216-2854

Other practice locations

  • 3909 Edgewood Terrace Dr, Greensboro, NC 27406-2740 · (704) 621-0693

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1265907000

Jessica Marjorie Phifer's National Provider Identifier is 1265907000, issued on Oct 8, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2022.