Jumpa, Teri C
Jumpa, Teri C is an sole proprietor health care provider with primary practice located at 2609 Medical Office Pl , Goldsboro NC 27534-9428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jumpa, Teri C can be contacted via phone (919) 734-1779.Contact Information
Primary practice address
2609 Medical Office Pl
Goldsboro NC 27534-9428
Phone: (919) 734-1779
Fax: (919) 734-7570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-03755 | North Carolina |
Profile Details
| NPI number | 1205831492 |
|---|---|
| LBN Legal business name | Jumpa, Teri C |
| Credentials | P.A.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 29th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205831492 | NPPES |
| Florida | MEDICAID | 290222200 |
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