Individual
JESSICA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
217 TURNER DR STE F, REIDSVILLE, NC 27320-5754
(336) 707-3614
(833) 941-2556
Mailing address
217 TURNER DR STE F, REIDSVILLE, NC 27320-5754
(336) 342-6060
(833) 941-2556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011504
NC
363LF0000X
Family Nurse Practitioner
CNP.019303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011504
NORTH CAROLINA BOARD OF NURSING
NC
01
—
CNP.019303
OHIO BOARD OF NURSING
OH
Enumeration date
06/28/2016
Last updated
05/04/2026
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