Individual
MS. JESSICA LOUISE SELVAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Mailing address
700 BISHOPS PARK DR UNIT 206, RALEIGH, NC 27605-1250
(217) 416-0406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252052
NC
363LF0000X
Family Nurse Practitioner
Primary
5012107
NC
Other
Enumeration date
06/20/2019
Last updated
10/20/2021
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