Provider Demographics
NPI:1083089742
Name:ADVENT HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:ADVENT HEALTH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:C
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:704-453-1444
Mailing Address - Street 1:610 E 7TH ST
Mailing Address - Street 2:STE 106
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2923
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:610 E 7TH ST
Practice Address - Street 2:STE 106
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2923
Practice Address - Country:US
Practice Address - Phone:704-453-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007327261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care