Individual
JESSICA UPCHURCH VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8593
(336) 832-4382
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8593
(336) 832-4382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201201499
NC
207R00000X
Internal Medicine Physician
Primary
2334
WV
Other
Enumeration date
07/03/2007
Last updated
04/11/2013
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