Healthcare Provider Details

I. General information

NPI: 1457048803
Provider Name (Legal Business Name): JENNIFER LYNN LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

417 MACNIDER BLDG CB# 7221
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5491
  • Fax: 984-974-8045
Mailing address:
  • Phone: 919-843-1038
  • Fax: 919-843-7036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number2026-01461
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: