Basic Information
Provider Information
NPI: 1629339098
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESKILDSEN
FirstName: JENNY
MiddleName: FELDMAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FELDMAN
OtherFirstName: JENNY
OtherMiddleName: LEIGH
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: UNC FP PO BOX 271647
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 841271647
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: DEPARTMENT OF ANESTHESIOLOGY N2198 UNC
Address2: CB# 7010
City: CHAPEL HILL
State: NC
PostalCode: 275997010
CountryCode: US
TelephoneNumber: 9199665136
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/01/2012
LastUpdateDate: 10/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X2016-01142NCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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