Individual
JACLYN MARIE BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 NORTHLINE AVENUE, STE 200, GREENSBORO, NC 27408-7602
(336) 545-5000
(336) 545-5020
Mailing address
3200 NORTHLINE AVENUE, STE 200, GREENSBORO, NC 27408-7602
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04181
NC
Other
Enumeration date
10/08/2008
Last updated
12/06/2013
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