Individual
ASHLEY BASHIOUM JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
1205 ATHENS DR, RALEIGH, NC 27606-2422
(704) 616-6695
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010-00421
NC
208000000X
Pediatrics Physician
57.013677
OH
Other
Enumeration date
06/26/2008
Last updated
08/18/2021
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