Born, Jessica Diane
Born, Jessica Diane is an individual health care provider with primary practice located at 865 W Lake Dr , Mount Airy NC 27030-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Born, Jessica Diane can be contacted via phone (336) 719-6100.Contact Information
Primary practice address
865 W Lake Dr
Mount Airy NC 27030-2102
Phone: (336) 719-6100
Fax: (336) 719-2313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5016888 | North Carolina |
Profile Details
| NPI number | 1336873827 |
|---|---|
| LBN Legal business name | Born, Jessica Diane |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2022 |
| Last updated | Dec 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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