Most Relevant Information
Provider Data
| NPI Number: | 1003271156 |
| Provider Name: | ROBIN ELIZABETH JENDRAZAK OPA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 1255 |
Most Important Dates
| Enumeration Date: | 12/16/2015 |
| Last Updated: | 12/16/2015 |
Provider Practice Location
2716 ASHTON DR
WILMINGTON
NC
284122489
Practice Location Phone/Fax
| Phone: | 9103323800 |
| Fax: | 9103323833 |
Provider Mailing Location
2716 ASHTON DR
WILMINGTON
NC
284122489
Provider Mailing Phone/Fax
| Phone: | 9103323800 |
| Fax: | 9103323833 |