Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Lynn Jurcenko, PA-C

Individual provider Physician Assistant · NPI 1629685326

Madison Lynn Jurcenko, PA-C is a Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina and New York. Registered with an NPI since 2020.

Licensed in
NC, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821
Phone: (980) 308-0169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12531 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 025682 (NY)

Record details

NPI number1629685326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2020
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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