JENNIFER R CLARK-BRUNING PAC
NPI 1699847921
Physician Assistant - Medical in Greensboro, NC
Active since November 14, 2006
About Jennifer R Clark-bruning Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER R CLARK-BRUNING PAC (NPI 1699847921) is an individual medical provider in Greensboro, North Carolina, licensed in North Carolina (102670) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1699847921
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER R CLARK-BRUNINGCredential: PAC
Location Address1900 ASHWOOD CTGreensboro, NC 27455-3005
Mailing Address1900 Ashwood CtGreensboro, NC 27455-3005 · (336) 282-1414 · Fax (336) 282-1515
Phone(336) 282-1414
Fax(336) 282-1515
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateApril 6, 2015
✔ NPI 1699847921 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 102670
1900 ASHWOOD CT, Greensboro, NC 27455
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699847921, enumerated as an "individual" on November 14, 2006.
The provider is located at 1900 ASHWOOD CT GREENSBORO, NC 27455 and the phone number is (336) 282-1414.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
