Lashana Jonette Wilder in Charlotte - Physician Assistant
Lashana Jonette Wilder - NPI 1396927125
Lashana Jonette Wilder is a Physician Assistant in Charlotte, North Carolina. Lashana Jonette Wilder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lashana Jonette Wilder is 1396927125. The last update date is 2021-06-28.
Lashana Jonette Wilder's current location address is Po Box 751649, Charlotte, North Carolina. You can contact this provider via phone number 8437891620. The mailing address for Lashana Jonette Wilder is Po Box 751649, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lashana Jonette Wilder |
|---|---|
| Address | Po Box 751649, Charlotte, North Carolina |
| Phone Number | 8437891620 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1396927125 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2021-06-28 |
Provider Mailing Address Detail
| Address | Po Box 751649 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751649 |
| Phone Number | 8437891620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1253 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1253 | SC | SC MEDICAL LICENSE | |
| 0632PA | SC | -- |
Post Comment/ Review Below
What is the Lashana Jonette Wilder's 1396927125?
The Lashana Jonette Wilder's NPI (National Provider Identifier) Number is 1396927125. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lashana Jonette Wilder is located?
The Lashana Jonette Wilder is situated at the following address: Po Box 751649, Charlotte, NC, 282751649.
What is Lashana Jonette Wilder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lashana Jonette Wilder is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396927125 to Lashana Jonette Wilder?
The Lashana Jonette Wilder received its 1396927125 assignment from the Centers for Medicare & Medicaid Services on 2007-12-04.
As of what date were the Lashana Jonette Wilder's details last updated?
The information pertaining to the Lashana Jonette Wilder, including its address, specialty, and other details, was most recently updated on 2021-06-28.
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