Individual
JESSICA CLEMENTS IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
210 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4942
(252) 535-8144
Mailing address
210 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010879
NC
Other
Enumeration date
08/21/2018
Last updated
01/19/2022
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