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:
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Health care specialties

SpecialtyCodeLicense #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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