MRS. AMBER JUNE GENDRON


Address: 4140 Ferncreek Dr, Fayetteville, NC 28314-2563
Phone: 9104842171

MRS. AMBER JUNE GENDRON (NPI# 1619438819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619438819
Entity Type Individual
Full Name MRS. AMBER JUNE GENDRON
Other Name MS. AMBER JUNE SUITS
Credential PA-C
Practice Address 4140 Ferncreek Dr
Fayetteville
NC 28314-2563
Practice Telephone 9104842171
Mailing Telephone 9104842171
Enumeration Date 2019-03-29
Last Update Date 2019-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-08912 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4140 FERNCREEK DR
City FAYETTEVILLE
State NC
Zip Code 28314-2563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366447757 Paul Eric Szwejbka Psychiatry & Neurology 4140 Ferncreek Dr, Ste 401, Fayetteville, NC 28314-2563 2005-06-14
1336657428 Carey Lennon Orthopaedic Surgery 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 2018-01-11
1497297451 Zachary John Collins Physical Therapist 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 2016-11-08
1932657798 Jared Kenneth Casazza Physical Therapist 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 2016-09-21
1821545005 Wendy T Bartley Physical Therapist 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 2016-09-06
1477941367 Sarah Busbin Physician Assistant 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 2014-12-31
1265820260 Ashley Ronk Physician Assistant 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 2014-12-30
1689071458 Abighail Castro Physical Therapist 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 2014-11-22
1942647300 Le-ann Mancio Physical Therapist 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 2013-05-25
1548510969 Cumberland County Hospital System, Inc. Specialist 4140 Ferncreek Dr, Suite 601, Fayetteville, NC 28314-2563 2012-09-13
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NPI Name Taxonomy Address Enumeration
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1093284465 Candice Gorremans Physician Assistant 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 2018-11-15
1861983439 Jessica Lynne Smith Counselor 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 2018-05-19
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 28314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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