Individual
JESSICA OXIDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4355 HICKORY BLVD STE 2, GRANITE FALLS, NC 28630-2014
(828) 757-5060
(828) 757-5041
Mailing address
208 OLYMPIA DR, MOORESVILLE, NC 28117-7905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201912601
NC
Other
Enumeration date
08/06/2019
Last updated
03/18/2021
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