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Primary Practice Address
3080 TRENWEST DR
WINSTON SALEM, NC 27103-3208 US

Jennifer Fuqua

Physician Assistant (Medical)


Jennifer Fuqua

Overview

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)

Contact Information

Primary Practice Location Information
3080 TRENWEST DR
WINSTON SALEM, NC 27103-3208 US
Phone: (336)-768-0496
Fax:
Practice Mailing Information
3080 TRENWEST DR
WINSTON SALEM, NC 27103-3208 US
Phone: (336)-768-0496
Fax: (336)-245-2954
License NumberState
102054NC
PA 9102758FL
Type/IssuerIdentifierState
PHYSICIAN ASSISTANT LICPA 9102758FL
PA LICENSE NUMBER102054NC

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
PECOS PART B Yes
PECOS DME Yes
PECOS HHA Yes
PECOS PMD Yes
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