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MRS. JENNIFER ANNETTE LEE MT(ASCP)
NPI 1164503561
Specialist/Technologist, Pathology - Medical Technologist in Winston-salem, NC

Active since October 18, 2006
190 KIMEL PARK DRIVE, VA OUTPATIENT CLINIC, WINSTON-SALEM, NC 27103(336) 768-3296(336) 760-5481 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer Annette Lee Mt(ascp) NPPES

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

MRS. JENNIFER ANNETTE LEE MT(ASCP) (NPI 1164503561) is an individual medical technologist in Winston-salem, North Carolina, licensed in South Carolina (MT-175524) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164503561
Entity TypeIndividualFemale
Primary Taxonomy246QM0706X
Provider Legal NameMRS. JENNIFER ANNETTE LEECredential: MT(ASCP)
Location Address190 KIMEL PARK DRIVE, VA OUTPATIENT CLINICWinston-salem, NC 27103
Mailing Address355 Park AveMocksville, NC 27028-2143 · (336) 751-1659
Phone(336) 768-3296
Fax(336) 760-5481
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164503561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
License✔ Licensed in SC · MT-175524
190 KIMEL PARK DRIVE, Winston-salem, NC 27103
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Other Names 1

Former Name (1)Mrs. Jennifer Grantham Proctor Mt(ascp)

Other Providers at the Same Location NPPES 4

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

MR. DAVID L HEDRICK M.A.
Specialist/Technologist (Rehabilitation, Blind)
190 KIMEL PARK DRIVE, VA CLINIC VIST - 170V
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296
MRS. MINNEE SWICEGOOD BYRD RT(R)(ARRT)
Radiologic Technologist (Radiography)
190 KIMEL PARK DRIVE, VA OUTPATIENT CLINIC
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-3296
DR. ROGER WILLIS CUMMINGS O.D.
Optometrist
190 KIMEL PARK DRIVE, WINSTON-SALEM VA OUTPATIENT CLINIC
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-3296
DR. HEATHER MARIE NETTLES CLARK M.D.
Psychiatry & Neurology (Psychiatry)
190 KIMEL PARK DRIVE, VETERANS AFFAIRS WINSTON SALEM OUTPATIENT CLINIC
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296

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 Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1164503561. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Mrs. Jennifer Grantham Proctor Mt(ascp).

Where is Jennifer Lee located?

Jennifer Lee practices at 190 Kimel Park Drive VA Outpatient Clinic, Winston-Salem, NC 27103. The listed phone number is (336) 768-3296.

What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.