Gavin, Jalysa
Gavin, Jalysa is an individual health care provider with primary practice located at 204 Malloy St Ste A , Goldsboro NC 27534-4477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gavin, Jalysa can be contacted via phone (919) 751-7665.Contact Information
Primary practice address
204 Malloy St Ste A
Goldsboro NC 27534-4477
Phone: (919) 751-7665
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5012334 | North Carolina |
Profile Details
NPI number | 1972154318 |
---|---|
LBN Legal business name | Gavin, Jalysa |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2019 |
Last updated | Sep 26th, 2019 - about 6 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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