Healthcare Provider Details

I. General information

NPI: 1790488393
Provider Name (Legal Business Name): JENNIFER M V MINOR L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CHARLOTTE ST
ASHEVILLE NC
28801-1415
US

IV. Provider business mailing address

115 COACHMANS TRL
ASHEVILLE NC
28803-9411
US

V. Phone/Fax

Practice location:
  • Phone: 828-338-9326
  • Fax:
Mailing address:
  • Phone: 907-351-1521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number702
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: