Individual provider · Type 1 NPI

Jennifer Lynn Gonzales, PA

Physician Assistant · Waxhaw, NC

NPI number 1407132178 Active

Practice location

2700 S Providence Rd, Ste 300
Waxhaw, NC 28173-6313

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-06647 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407132178

Jennifer Lynn Gonzales, PA's National Provider Identifier is 1407132178, issued on Oct 26, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waxhaw, NC. The record was last updated on Jul 15, 2024.