Individual
JESSICA VALCEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14215 BALLANTYNE CORPORATE PL STE 130, CHARLOTTE, NC 28277-3671
(704) 384-1950
(704) 384-1955
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023-01701
NC
208000000X
Pediatrics Physician
260649
NC
Other
Enumeration date
03/21/2020
Last updated
08/23/2023
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