Individual ProviderJenifer Claire ChampagneNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7920 Sam Furr Rd, Huntersville, NC 28078-8911(704) 896-3671PECOS EnrollmentBased on the most recent information from CMS, provider Jenifer Claire Champagne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:49 AM.Profile DetailsProvider ID1427707900Provider TypeIndividualFull NameChampagne, Jenifer ClaireGenderFemaleSole ProprietorNoEnumeration Date3/22/2022Last Updated4/1/2022Contact InformationPractice LocationPractice Address7920 Sam Furr Rd, Huntersville, NC 28078-8911Phone(704) 896-3671FaxUnlisted FaxMailing LocationMailing Address7920 Sam Furr Rd, Huntersville, NC 28078-8911Phone(704) 896-3671FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5015969North CarolinaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense227038North Carolina