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REVIVE SKIN AND WOUND PLLC
NPI 1144186404
Physician Assistant in Mooresville, NC

Active since December 30, 2025
116 ROUND KEEP LN, MOORESVILLE, NC 28117(704) 727-6153(213) 559-9971 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Skin And Wound Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE SKIN AND WOUND PLLC (NPI 1144186404) is a healthcare organization registered as a physician assistant in Mooresville, North Carolina and active in the NPI registry since December 2025. The organization lists Jennifer Marie Hull, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1144186404
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameREVIVE SKIN AND WOUND PLLC
Location Address116 ROUND KEEP LNMooresville, NC 28117-8091
Mailing Address116 Round Keep LnMooresville, NC 28117-8091 · (704) 727-6153 · Fax (213) 559-9971
Phone(704) 727-6153
Fax(213) 559-9971
Organization SubpartNo
Authorized OfficialJennifer Marie HullOwner/provider · (704) 727-6153
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1144186404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
116 ROUND KEEP LN, Mooresville, NC 28117
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER MARIE HULL PA-C
Physician Assistant
116 ROUND KEEP LN
MOORESVILLE, NC 28117
Iredell County (704) 727-6153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Skin And Wound PLLC's NPI number?

The NPI number for Revive Skin And Wound PLLC is 1144186404. It was assigned to this organization in the NPPES registry on December 30, 2025.

Where is Revive Skin And Wound PLLC located?

Revive Skin And Wound PLLC is located at 116 Round Keep Ln, Mooresville, NC 28117. The listed phone number is (704) 727-6153.

What is Revive Skin And Wound PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Revive Skin And Wound PLLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.