Individual
MRS. JESSI MOUNCE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3303 HWY 70 EAST, NEW BERN, NC 28560
(252) 672-8680
(252) 637-4812
Mailing address
3303 HWY 70 EAST, NEW BERN, NC 28560
(252) 672-8680
(252) 637-4812
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5914
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388569919
TRICARE
NC
05
—
7301536
—
NC
Enumeration date
03/28/2006
Last updated
07/30/2015
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