Provider Demographics
NPI:1144455106
Name:VINCENT, JENNIFER ORR (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ORR
Last Name:VINCENT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5034 OLD CLINIC BUILDING
Mailing Address - Street 2:CB #7110, UNC HOSPITAL MEDICINE PROGRAM
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7110
Mailing Address - Country:US
Mailing Address - Phone:919-966-3204
Mailing Address - Fax:919-966-3776
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:UNC HOSPITAL MEDICINE PROGRAM
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7110
Practice Address - Country:US
Practice Address - Phone:919-966-3204
Practice Address - Fax:919-966-3776
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2013-11-08
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00484208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics