Individual
JESSICA LEE FOCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-1449
(919) 214-4888
Mailing address
1002 N CHURCH ST STE 302, GREENSBORO, NC 27401-1449
(336) 387-8100
(336) 387-8202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417496407
—
NC
Enumeration date
02/23/2017
Last updated
03/06/2025
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