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Individual

JENNIFER THIESSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
6345 N CROATAN HWY, KITTY HAWK, NC 27949-3887
(252) 715-4466
(252) 715-4468
Mailing address
6345 N CROATAN HWY STE 201, KITTY HAWK, NC 27949-3887
(252) 715-4466
(252) 715-4468

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
5012458
NC

Other

Enumeration date
01/31/2019
Last updated
03/30/2023
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