JENNIFER MARIE SHORT


Address: 13845 Conlan Cir, Charlotte, NC 28277-2705
Phone: 7045442092

JENNIFER MARIE SHORT (NPI# 1750617874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750617874
Entity Type Individual
Full Name JENNIFER MARIE SHORT
Credential P.A.-C
Practice Address 13845 Conlan Cir
Charlotte
NC 28277-2705
Mailing Address 13845 Conlan Circle
Charlotte
NC 28277-0060
Practice Telephone 7045442092
Enumeration Date 2009-10-23
Last Update Date 2017-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 001002003 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
0010-02003 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER SHORT

NPI Name Taxonomy Address Enumeration
1881177863 Jennifer Lea Short Occupational Therapy Assistant 701 S Main St, Broken Arrow, OK 74012-5528 2018-09-14
1518320019 Jennifer Short Physician Assistant 69 Jesse Hill Jr Dr Se, Glenn Memorial Building, Room 302d, Atlanta, GA 30303-3033 2016-04-01
1821450677 Jennifer Short Advanced Practice Midwife 300 2nd Ave, Long Branch, NJ 07740-6303 2016-03-22
1497062707 Jennifer A Short Physical Therapist 6255 S Archer Ave, Chicago, IL 60638-2609 2010-09-08
1275603144 Jennifer D Short Social Worker 29520 Canvasback Dr, Easton, MD 21601-7124 2006-11-08

Office Location

Street Address 13845 CONLAN CIR
City CHARLOTTE
State NC
Zip Code 28277-2705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871565523 Paul Michael Weathers Physician Assistant 13845 Conlan Cir, Charlotte, NC 28277-2705 2006-02-06
1912553561 Justin Ezennubia Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2019-08-09
1245711076 Natalie Wollstein Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2018-08-29
1598289449 Nirav R Patel Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2017-08-02
1639543911 Ryan Manion Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2015-11-24
1770956401 Andrea Schiliro Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2015-11-03
1568834539 Orvette Cox Physician Assistant 13845 Conlan Cir, Charlotte, NC 28277-2705 2015-10-29
1548677479 Morgan Allison Fleming Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2014-07-11
1619396272 Vera Rivera Nurse Practitioner 13845 Conlan Cir, Charlotte, NC 28277-2705 2014-04-10
1881036507 Glenn Paul Shields Pharmacist 13845 Conlan Cir, Charlotte, NC 28277-2705 2013-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
1225582984 Danielle Mcdaniel Occupational Therapist 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 2016-08-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351607 Michael James Blackwell Physician Assistant 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 2020-09-22
1598371320 Jonathan Byron Lively Physician Assistant 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 2020-09-17
1902415532 Jacqueline Ellen Leyrer Physician Assistant 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 2020-07-29
1750908380 Whitney Debroy Physician Assistant 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 2020-06-30
1972129302 Ashley Nicole Short Physician Assistant 1022 E Worthington Ave, Charlotte, NC 28203-5760 2020-06-22
1558985176 Courtney Claugus Physician Assistant 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 2020-05-29
1467071738 Patrick James Quinn Physician Assistant 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 2020-04-15
1225660301 Sunil Ranchhod Ghodasara Physician Assistant 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 2020-02-06
1225668601 Emily Rebecca Markey Physician Assistant 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 2020-01-24
1639719586 Abosede Elizabeth Adamson Physician Assistant 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 2020-01-08
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Competitor

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City CHARLOTTE
Zip Code 28277

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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