Individual
MRS. JESSICA RAKES HEYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-2100
Mailing address
614 LONGLEAF RD, ABERDEEN, NC 28315-2126
(540) 493-1800
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5012161
NC
363LF0000X
Family Nurse Practitioner
5012161
NC
Other
Enumeration date
08/15/2019
Last updated
08/23/2019
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