Brys-Wilson, Jessica

Brys-Wilson, Jessica is an individual health care provider with primary practice located at 10589 E Nc 97 , Rocky Mount NC 27803-9208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brys-Wilson, Jessica can be contacted via phone (252) 442-1807.

Contact Information

Primary practice address
10589 E Nc 97 Rocky Mount NC 27803-9208
Fax: (252) 442-1649
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001000252 North Carolina

Profile Details

NPI number 1356301105
LBN Legal business name Brys-Wilson, Jessica
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 11th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356301105 NPPES
North Carolina Other 416456 WELLPATH ID
North Carolina Other 213660 WELLPATH ID
North Carolina Other 7708741 WELLPATH ID

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