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

Miss. Jennifer Cogdell, PA

Individual provider Medical Physician Assistant · NPI 1417216789

Miss. Jennifer Cogdell, PA is a Medical Physician Assistant in Concord, North Carolina. Licensed in Maryland and North Carolina. Registered with an NPI since 2012.

Licensed in
MD, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1028 Lee Ann Dr NE Ste 200
Concord, NC 28025-2915
Phone: (704) 792-9173
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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 0010-03930 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0004668 (MD)

Record details

NPI number1417216789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2012
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 6, 2020

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