Individual
JESSICA BRETT WOLPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
156828
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430067081
RAILROAD-MEDICARE
NC
05
—
8051482
—
NC
Enumeration date
03/01/2007
Last updated
11/11/2008
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