Individual
MRS. JESSICA J. DOUTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AGNP
Contact information
Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1953
(704) 838-8240
(704) 924-5360
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
24954
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
5021443
NC
Other
Enumeration date
06/10/2015
Last updated
02/19/2026
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