| Doctor Name: | MRS. JENNIFER AYSCUE |
| NPI Number: | 1053790006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | P009290 |
| Business Practice Address: | 130 Commerce Pkwy Suite 111 Garner, NC - 275297966 |
| Business Phone Number: | 9197721990 |
| Business Fax Number: | |
| Mailing Address: | 130 Commerce Pkwy, Suite 111 GARNER |
| State: | NC |
| Postal Code: | 275297966 |
| Phone Number: | 9197721990 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2015 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P009290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |