Jennifer Louise Percival
Nurse Practitioner | 11+ years Exp
5145 Sellers Rd, Shallotte
North Carolina, 28470-3405
910-754-4441
Jennifer Louise Percival is a Shallotte, North Carolina based nurse practitioner with 11 years of experience in . She completed her graduation in 2014. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer Louise Percival is 275979 in North Carolina. Her current practice location is 5145 Sellers Rd, Shallotte. Patients can reach her at 910-754-4441 and her NPI number (Unique professional ID assigned by NPPES) is 1053702076.
Jennifer Louise Percival has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer Louise Percival speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer Louise Percival |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 11+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5145 Sellers Rd, Shallotte,
North Carolina, 28470-3405 |
| Phone: | 910-754-4441 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6608197553 |
| Enrollment ID: | I20150604001001 |
| NPI Number: | 1053702076 |
| NPI Enumeration Date: | 12 Feb, 2015 |
| NPI Last Update On: | 05 Aug, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Louise Percival are as mentioned below.
| License Number | Specialization | State | Status | |
| 275979 | | North Carolina | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (340158) | Supply, NC | Acute Care Hospital |
| (340141) | Wilmington, NC | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jennifer Louise Percival is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Novant Medical Group Inc (1153234893) | 1918 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Louise Percival such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1053702076 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer Louise Percival
Po Box 60447,
Charlotte, North Carolina |
| Zip: | 28260-0447 |
| Phone Number: | 910-754-4441 |
Patients can reach Jennifer Louise Percival at
5145 Sellers Rd, Shallotte, North Carolina or can
call to book an appointment on 910-754-4441.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.