Chadwick, Jessica R

Chadwick, Jessica R is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Chadwick, Jessica R can be contacted via phone (410) 200-1798.

Contact Information

Primary practice address
4420 Lake Boone Trl Raleigh NC 27607-7505
Phone: (410) 200-1798
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 0024169820 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 5008588 North Carolina

Profile Details

NPI number 1124384003
LBN Legal business name Chadwick, Jessica R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Mar 25th, 2021 - about 3 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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