Individual
JESSICA SPRUILL
Active
Individual
JESSICA SPRUILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9979
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067YY
BCBS
NC
05
—
7212078
—
NC
Enumeration date
04/19/2007
Last updated
07/09/2007
Update your record
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