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NPI Code Detail

MEDICARE: JENNIFER A LAYTON PA-C

MEDICARE:   JENNIFER A LAYTON  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-04299NC

General Provider Information

NPI Number : 1851593792
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A LAYTON PA-C
Provider Business Mailing Address
First Line : 1225 LEWISVILLE CLEMMONS RD
Second Line :
City : LEWISVILLE
State : NC
Zip : 27023-3168
Country : US
Telephone Number : 336-712-0700
Fax Number :
Provider Business Practice Location Address
First Line : 390 W SALEM AVE
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27101-5861
Country : US
Telephone Number : 336-721-2375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 10/28/2020

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Directions to “ JENNIFER A LAYTON PA-C” Practice Location

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