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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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