Individual
DR. JESSICA CIPOLETTI DERREBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 KIMEL PARK DR, WINSTON SALEM, NC 27103-6951
(336) 277-1800
Mailing address
2915 ATWOOD RD, WINSTON SALEM, NC 27103-5475
(304) 617-4337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2016-01870
NC
2084P0800X
Psychiatry Physician
25735
WV
Other
Enumeration date
06/23/2009
Last updated
01/26/2017
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