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Contact Information

JONATHAN JERNIGAN
142 BIRD CREEK ESTATE RD
BLACK MOUNTAIN, NC28711
 Phone: 828-442-4029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JONATHAN JERNIGAN · (Male)

NPI # 1093492704
Status Active
Credentials
Entity Individual
Enumeration date 07/04/2023
Last updated 07/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2668
  • NC License # LCAS-624
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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