Millicent Calena Jennette, PA-C
Physician Assistant in Fayetteville, NC. Individual provider (NPI-1).
NPI number1760640841
StatusActive
Last updated in NPPESMay 27, 2008
Details
- NPI
- 1760640841
- Entity type
- Individual (NPI-1)
- Name
- Ms. Millicent Calena Jennette
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2008
- Last updated
- May 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 103905 | NC | Yes |
Practice location
2035 Valleygate DrSuite 101
Fayetteville, NC 28304-3984
Phone 910-484-8009 · Fax 910-484-2205
Mailing address
2035 Valleygate DrSuite 101
Fayetteville, NC 28304-3984
Phone 910-484-8009 · Fax 910-484-2205
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All 291 Physician Assistant providers in Fayetteville · All 9,765 providers in Fayetteville
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