Healthcare Provider Details

I. General information

NPI: 1013288901
Provider Name (Legal Business Name): JENNIFER LYNNE CHESSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 MCALISTER RD STE 2600
LINCOLNTON NC
28092-0028
US

IV. Provider business mailing address

441 MCALISTER RD STE 2600
LINCOLNTON NC
28092-0028
US

V. Phone/Fax

Practice location:
  • Phone: 980-212-4000
  • Fax:
Mailing address:
  • Phone: 980-212-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-16101
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: