Individual
JENNIFER MICHELLE DECOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 CROOKED CREEK PKWY STE 110, DURHAM, NC 27713-8507
(859) 200-3726
Mailing address
202 SAINT THOMAS DR, CHAPEL HILL, NC 27517-2304
(859) 200-3726
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018-02052
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
11/06/2023
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