Healthcare Provider Details

I. General information

NPI: 1578514519
Provider Name (Legal Business Name): JENNIFER MARIE MCALISTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 11/25/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 6TH AVE W STE 100
HENDERSONVILLE NC
28739-4137
US

IV. Provider business mailing address

800 N JUSTICE ST # 16
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-693-7230
  • Fax: 828-698-0583
Mailing address:
  • Phone: 828-694-8385
  • Fax: 828-694-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number076291
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2015-01166
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number2015-01166
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: