Jennifer Fuqua is a Physician Assistant (Medical) in the WINSTON SALEM area. Jennifer Fuqua primary office location is at 3080 TRENWEST DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205850591 and the information was updated approximately 7 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
|PHYSICIAN ASSISTANT LIC||PA 9102758||FL|
|PA LICENSE NUMBER||102054||NC|
|Physician Assistant (Medical) - Taxonomy Code 363AM0700X||FL||Y|
|Physician Assistant (Medical) - Taxonomy Code 363AM0700X||NC||N|
|Participates in PECOS:||YES|
|PECOS Individual Enrollment ID:|
|PECOS Individual PAC ID:|
|PECOS PART B||Yes|