Individual
MRS. JESSICA MARIE REBOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 JONESTOWN RD, WINSTON SALEM, NC 27104-4623
(336) 768-9515
(336) 768-9082
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 768-9515
(336) 768-9082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06570
NC
Other
Enumeration date
04/08/2016
Last updated
10/14/2025
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