Healthcare Provider Details

I. General information

NPI: 1962912055
Provider Name (Legal Business Name): JENNIFER SUE LEPKOWSKI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 04/29/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 RIVER RIDGE DR
ASHEVILLE NC
28803-1299
US

IV. Provider business mailing address

11 RIVER RIDGE DR
ASHEVILLE NC
28803-1299
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-6350
  • Fax:
Mailing address:
  • Phone: 828-986-3502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5010109
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: