Basic Information
| Provider Information | |||||||||
| NPI: | 1144455106 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VINCENT | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | ORR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5034 OLD CLINIC BUILDING | ||||||||
| Address2: | CB #7110, UNC HOSPITAL MEDICINE PROGRAM | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199663204 | ||||||||
| FaxNumber: | 9199663776 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 MANNING DR | ||||||||
| Address2: | UNC HOSPITAL MEDICINE PROGRAM | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199663204 | ||||||||
| FaxNumber: | 9199663776 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2009 | ||||||||
| LastUpdateDate: | 11/08/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 2012-00484 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.