Mack, Jessica Leigh
Mack, Jessica Leigh is an individual health care provider with primary practice located at 1 Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mack, Jessica Leigh can be contacted via phone (336) 716-2011.Contact Information
Primary practice address
1 Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 254774 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 5012459 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5012459 | North Carolina |
Profile Details
| NPI number | 1457994097 |
|---|---|
| LBN Legal business name | Mack, Jessica Leigh |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2019 |
| Last updated | Oct 29th, 2019 - about 5 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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