Individual
JESSICA DIANE BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6301 STADIUM DR # 500, CLEMMONS, NC 27012-8766
(336) 766-6473
(336) 766-8909
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016888
NC
363LF0000X
Family Nurse Practitioner
5016888
NC
Other
Enumeration date
07/12/2022
Last updated
04/07/2026
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