Individual
JESSICA DAWN BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713-7812
(919) 457-1517
(919) 363-7697
Mailing address
695 OAK STUMP RD, ELIZABETH CITY, NC 27909-7605
(252) 331-1898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012568
NC
Other
Enumeration date
11/25/2019
Last updated
08/22/2022
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