Individual ProviderYuan-Jane QiuPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7825 Ballantyne Commons Pkwy Ste 300, Charlotte, NC 28277-3175(704) 544-8776PECOS EnrollmentBased on the most recent information from CMS, provider Yuan-Jane Qiu 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 34 days ago.Profile DetailsProvider ID1659017184Provider TypeIndividualFull NameQiu, Yuan-JaneCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date5/9/2022Last Updated5/25/2022Contact InformationPractice LocationPractice Address7825 Ballantyne Commons Pkwy Ste 300, Charlotte, NC 28277-3175Phone(704) 544-8776FaxUnlisted FaxMailing LocationMailing Address7825 Ballantyne Commons Pkwy Ste 300, Charlotte, NC 28277-3175PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-12022North CarolinaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense4170South CarolinaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense027589New York