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Individual

MRS. JESSICA NICOLE NULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
240 HIGHWAY 105 EXT STE 100, BOONE, NC 28607-4291
(828) 264-7311
(828) 264-7907
Mailing address
PO BOX 1490, BOONE, NC 28607-1490
(828) 262-3886
(828) 265-4816

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012509
NC

Other

Enumeration date
11/08/2019
Last updated
12/14/2023
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