Defelice, Jeanette Elizabeth Wilson

Defelice, Jeanette Elizabeth Wilson is an individual health care provider with primary practice located at 1240 Huffman Mill Road , Burlington NC 27215-8700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Defelice, Jeanette Elizabeth Wilson can be contacted via phone (336) 538-8471.

Contact Information

Primary practice address

1240 Huffman Mill Road Burlington NC 27215-8700

Phone: (336) 538-8471

Fax: (336) 538-8161

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Family	363LF0000X	5005058	North Carolina

Profile Details

NPI number	1972807790
LBN Legal business name	Defelice, Jeanette Elizabeth Wilson
Credentials	FNP-BC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 8th, 2011
Last updated	Sep 27th, 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1972807790	NPPES
North Carolina	MEDICAID	7004905

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