Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jennifer Marie Lidstrom, MS, DC, PC

Individual provider Chiropractor · NPI 1073618708

Dr. Jennifer Marie Lidstrom, MS, DC, PC is a Chiropractic in Cornelius, North Carolina. Qualified in 2002, 24 years ago. Practices with Jennifer Lidstrom MS, DC, PC, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

19924 Jetton Rd Ste 101
Cornelius, NC 28031-8250
Phone: (704) 876-8446
Fax: (704) 896-8495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3249 (NC)

Record details

NPI number1073618708
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , DC , PC
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing address19924 Jetton Rd, Suite 101, Cornelius, NC 28031-8250

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Jennifer Lidstrom Ms, Dc, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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